Individual
MARY PAT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 PHILMONT AVE, SUITE 109, HUNTINGDON VALLEY, PA 19006-5306
(215) 244-9130
(215) 244-9133
Mailing address
2600 PHILMONT AVE, SUITE 109, HUNTINGDON VALLEY, PA 19006-5306
(215) 244-9130
(215) 244-9133
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
233096884
PA
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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