Organization
LENNY'S PEDORTHICS & ORTHOPEDICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON R RODRIGUEZ CERTIFIED PEDORTHIST (OWNER)
(215) 925-8099
Entity
Organization
Contact information
Practice address
256 S 10TH ST, PHILADELPHIA, PA 19107-6776
(215) 925-8099
(215) 925-8101
Mailing address
256 S 10TH ST, PHILADELPHIA, PA 19107-6776
(215) 925-8099
(215) 925-8101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000006303
PA
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/16/2007
Last updated
04/21/2010
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