MEDICARE: PULMONARY CARE INC

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	3000007178	PA
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies	43ZA00455700	NJ
5	332B00000X	Durable Medical Equipment & Medical Supplies	YM000949L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7182347	OTHER	PA	AETNA
2	222119	OTHER	PA	HIGHMARK BC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	3456404	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1780639708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY CARE INC

Provider Business Mailing Address
First Line	:	31 S EAGLE RD STE 202
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-3340
Country	:	US
Telephone Number	:	610-853-1985
Fax Number	:	610-853-6998

Provider Business Practice Location Address
First Line	:	31 S EAGLE RD STE 202
Second Line	:
City	:	HAVERTOWN
State	:	PA
Zip	:	19083-3340
Country	:	US
Telephone Number	:	610-853-1985
Fax Number	:	610-853-6998

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ARIANNY ESPINAL
Credential	:
Telephone Number	:	610-853-1985

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	05/22/2026

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Directions to “PULMONARY CARE INC ” Practice Location

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