Northeast Shoe
NPI #1811171127 in New Milford, Pennsylvania
Provider Information
- NPI Number
- 1811171127
- Entity Type
- Organization
- Organization Name
- Northeast Shoe
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 21, 2007
- Last Updated
- Jun 3, 2008
Practice Location
- Address
- INTERSECTION RR 11 & RT 706
- Address 2
- RR 3 BOX 22C
- City
- New Milford
- State
- Pennsylvania
- ZIP Code
- 18834-9708
- Phone
- (570) 465-2135
Authorized Official
- Name
- MISS ASHLEY MARIE TIERNEY
- Title
- OWNER
- Phone
- (570) 465-2135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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