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Bosom Buddies, Llc
Prosthetic/Orthotic Supplier in Paoli, Pennsylvania
NPI 1043424849

Bosom Buddies, Llc is a Prosthetic/Orthotic Supplier based in Paoli, PA. Bosom Buddies, Llc practices in Paoli, PA. The NPI Number for Bosom Buddies, Llc is 1043424849 and holds a License No. Z6860 (Pennsylvania).

The current practice location address for Bosom Buddies, Llc is 36 Chestnut Rd, Paoli, PA and can be reached out via phone at 610-296-7626 and via fax at 610-296-7620.

Location: 36 Chestnut Rd, Paoli, PA, 19301-1565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043424849
Provider Name
Bosom Buddies, Llc
Credential
Provider Entity Type
Organization
Address
36 Chestnut Rd, Paoli, PA, 19301-1565
Phone Number
610-296-7626
Fax Number
610-296-7620
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1981984 01 PA HIGHMARK
0002039000 01 PA INDEPENDENCE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
36 Chestnut Rd
City
Paoli
State
Pennsylvania
Zip
19301-1565
Phone Number
610-296-7626
Fax Number
610-296-7620
person
Provider Business Mailing Address Details
Address
36 Chestnut Rd
City
Paoli
State
Pennsylvania
Zip
19301-1565
Phone Number
610-296-7626
Fax Number
610-296-7620
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
Z6860 (Pennsylvania)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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