Organization
CHRISTOPHER SHOES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY MICHAEL SOLUP (PRESIDENT)
(508) 587-8337
Entity
Organization
Contact information
Practice address
97 WESTGATE DRIVE, BROCKTON, MA 02301
(508) 587-8337
(508) 588-4533
Mailing address
97 WESTGATE DRIVE, BROCKTON, MA 02301
(508) 587-8337
(508) 588-4533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
01/22/2008
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