Healthcare Provider Details

I. General information

NPI: 1467766196
Provider Name (Legal Business Name): BFRIN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7176 MARSHALL RD A
UPPER DARBY PA
19082-4927
US

IV. Provider business mailing address

7176 MARSHALL RD
UPPER DARBY PA
19082-4927
US

V. Phone/Fax

Practice location:
  • Phone: 866-473-3325
  • Fax: 866-473-3325
Mailing address:
  • Phone: 866-473-3325
  • Fax: 866-473-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. BARBARA J BOYER
Title or Position: PRESIDENT
Credential:
Phone: 866-473-3325