Organization
RIVER STREET PEDORTHICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WALLACE MCFADDEN JR. (PRESIDENT/OWNER)
(570) 820-3333
Entity
Organization
Contact information
Practice address
363 LAUREL STREET, PITTSTON, PA 18640-3535
(570) 820-3333
(570) 820-3331
Mailing address
363 LAUREL STREET, PITTSTON, PA 18640-3535
(570) 820-3333
(570) 820-3331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/30/2011
Last updated
10/15/2011
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