Organization
BASTILLE EYEWEAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G BURKE (OWNER)
(215) 331-1997
Entity
Organization
Contact information
Practice address
2371 COTTMAN AVENUE, ROOSEVELT MALL, PHILADELPHIA, PA 19149
(215) 331-1997
Mailing address
2371 COTTMAN AVENUE, ROOSEVELT MALL, PHILADELPHIA, PA 19149
(215) 331-1997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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