Organization
RITTENHOUSE MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER WEINER (OWNER)
(215) 735-0505
Entity
Organization
Contact information
Practice address
1740 SOUTH ST, SUITE 402, PHILADELPHIA, PA 19146-1514
(215) 735-0505
(215) 735-0577
Mailing address
1740 SOUTH ST, SUITE 402, PHILADELPHIA, PA 19146-1514
(215) 735-0505
(215) 735-0577
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
6000007529
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024738240001
—
PA
Enumeration date
10/14/2009
Last updated
09/20/2010
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