MEDICARE: B&S SHOES & ORTHOTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316011877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&S SHOES & ORTHOTICS

Provider Business Mailing Address
First Line	:	5938 LANSDOWNE AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19151
Country	:	US
Telephone Number	:	215-878-5077
Fax Number	:	215-473-1446

Provider Business Practice Location Address
First Line	:	5938 LANSDOWNE AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19151
Country	:	US
Telephone Number	:	215-878-5077
Fax Number	:	215-473-1446

Authorized Official
Title or Position	:	V PRES
Name	:	MR. ABE H SALZMAN
Credential	:
Telephone Number	:	215-878-5077

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	08/22/2020

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Directions to “B&S SHOES & ORTHOTICS ” Practice Location

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