Organization
BEST-MADE SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE S ROSEN C.PED (OWNER)
(412) 621-9367
Entity
Organization
Contact information
Practice address
5143 LIBERTY AVE, PITTSBURGH, PA 15224-2217
(412) 621-9363
(412) 621-1501
Mailing address
5143 LIBERTY AVE, PITTSBURGH, PA 15224-2217
(412) 621-9363
(412) 621-1501
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005622700002
—
PA
Enumeration date
08/18/2006
Last updated
05/04/2012
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