Individual
MR. RAYMOND M PENYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 BUSTARD RD, SUITE 2, LANSDALE, PA 19446-5724
(800) 473-6925
(610) 584-9767
Mailing address
2135 BUSTARD RD, SUITE 2, LANSDALE, PA 19446-5724
(800) 473-6925
(610) 584-9767
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000003509
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018511060001
—
PA
Enumeration date
03/17/2008
Last updated
01/09/2017
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