Organization
TULIPS LINGERIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRAN E DRATCH (MEMBER OWNER)
(215) 887-6363
Entity
Organization
Contact information
Practice address
419 YORK RD, JENKINTOWN, PA 19046-2704
(215) 887-6363
(215) 887-0493
Mailing address
419 OLD YORK ROAD, JENKINTOWN, PA 19046-2704
(215) 887-6363
(215) 887-0493
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
6000006673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004903000
INDEPENDENCE BLUES
PA
01
—
19046
AETNA
PA
Enumeration date
09/13/2006
Last updated
08/29/2007
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