JAY ANN SHOP INC NPI 1619222882

NPI Information

JAY ANN SHOP, INC is a mastectomy fitter in Philadelphia, PA. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. JAY ANN SHOP, INC NPI is 1619222882. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jay Ann Intimates.

The provider's business location address is:

333 COTTMAN AVE
ATTN: BOO'S BOUTIQUE-JAY ANN INTIMATES
PHILADELPHIA, PA
ZIP 19111-434
Phone: (215) 728-2627
Fax: (215) 728-2559

The provider's authorized official is Farrell Friedenberg .
The authorized official title is Owner and has the following contact phone number (215) 942-0120.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 6/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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