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Organization
DELLIGATTI SHOES
Active
Organization
DELLIGATTI SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A MARUNIAK OST (OWNER)
(724) 438-5401
Entity
Organization
Contact information
Practice address
659 PITTSBURGH RD, DELLIGATTI SHOES, UNIONTOWN, PA 15401-2215
(724) 438-5401
(724) 438-5402
Mailing address
659 PITTSBURGH RD, DELLIGATTI SHOES, UNIONTOWN, PA 15401
(724) 438-5401
(724) 438-5402
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090506
UMWA
PA
01
—
1507749
GATEWAY
PA
05
—
64433
—
PA
Enumeration date
12/05/2006
Last updated
03/03/2008
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