Organization
JAY ANN SHOP, INC
Active
Parent organization
JAY ANN SHOP, INC.
Other names
Jay Ann Intimates
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAY ANN SHOP, INC.
Authorized official
FARRELL FRIEDENBERG (OWNER)
(215) 942-0120
Entity
Organization
Contact information
Practice address
333 COTTMAN AVE, ATTN: BOO'S BOUTIQUE-JAY ANN INTIMATES, PHILADELPHIA, PA 19111-2434
(215) 728-2627
(215) 728-2559
Mailing address
1954 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 942-0120
(215) 942-0130
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
6000007318
PA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
02/17/2026
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