Bosom Buddies, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

Z6860 Issued in PA

Legal business name

BOSOM BUDDIES, LLC

Practice address

36 Chestnut Rd
Paoli, PA 19301-1565

Phone

(610) 296-7626

Fax

(610) 296-7620

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Regina Mastrangelo, CFM

Title

Owner

Phone

(610) 296-7626

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gie Gie Lingerie Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1043424849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CHESTNUT RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011565",
            "telephone_number": "610-296-7626",
            "fax_number": "610-296-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CHESTNUT RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011565",
            "telephone_number": "610-296-7626",
            "fax_number": "610-296-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSOM BUDDIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "MASTRANGELO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-296-7626",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "Z6860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1981984",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0002039000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gie Gie Lingerie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Richard Bollinger, M.D.
• Dawn M. Bonella, CRNP
• Joseph Bonn, MD
• Samuel Borofsky
• Maryanne Bosio, MA
• Madeline Boucas-Neto
• Hailey Bourgeau Chang, PSYD
• Alexis Whitney Bove, LMFT
• Andrew Rael Bowman, MD
• Emily M Boylan

• Prosthetic/Orthotic Supplier in Paoli, PA
• Providers in Paoli, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.