Organization
AJB ASSOCIATES
Active
Other names
Michael B Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOIANO CPED (GENERAL MANAGER)
(724) 465-9151
Entity
Organization
Contact information
Practice address
721 PHILADELPHIA ST, INDIANA, PA 15701-3905
(724) 465-9151
(724) 349-0524
Mailing address
2510 EVERGREEN DR, INDIANA, PA 15701-3233
(724) 349-0523
(724) 349-0524
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CPED2316
PA
Other
Enumeration date
08/17/2009
Last updated
12/15/2020
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