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Organization

SHAY AND IBN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DINAH L WILLIAMS (OFFICE MANAGER)
(267) 331-8905
Entity
Organization

Contact information

Practice address
5313 N 5TH ST, PHILADELPHIA, PA 19120-3203
(267) 331-8905
(267) 297-8191
Mailing address
PO BOX 52283, PHILADELPHIA, PA 19115-7283
(215) 842-5128
(267) 297-5181

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922563402
N/A
PA
Enumeration date
03/04/2019
Last updated
03/04/2019
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