Organization
BALLOWS SHOES INC
Active
Other names
Ballows Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL JEFFREY GERVON (MANAGER)
(215) 788-2857
Entity
Organization
Contact information
Practice address
308 MILL STREET, BRISTOL, PA 19007-4811
(215) 788-2857
(215) 788-2857
Mailing address
308 MILL STREET, BRISTOL, PA 19007-4811
(215) 788-2857
(215) 788-2857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000000704
—
PA
Enumeration date
04/18/2007
Last updated
08/22/2020
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