Organization Name: | SCARFO ATHLETIC SHOE CO INC |
NPI Number: | 1154509164 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA R SCARFO (TREASURER) |
Mailing Address: | 787 Boston Rd Billerica |
State: | MA US |
Postal Code: | 01821 |
Phone Number: | 9786634346 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |