Organization
JAY ANN SHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARRELL FRIEDENBERG (OWNER)
(215) 942-0120
Entity
Organization
Contact information
Practice address
2052 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1739
(215) 942-0120
(215) 942-0130
Mailing address
1954 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 942-0120
(215) 942-0130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000004961
PA
Other
Enumeration date
07/31/2007
Last updated
12/05/2017
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