Healthcare Provider Details

I. General information

NPI: 1316187842
Provider Name (Legal Business Name): ANNAPOLIS BUS CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 09/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2404 NICHOLS RD
ANNAPOLIS MD
21401-7016
US

IV. Provider business mailing address

2404 NICHOLS RD
ANNAPOLIS MD
21401-7016
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-0602
  • Fax: 410-266-8046
Mailing address:
  • Phone: 410-266-0602
  • Fax: 410-266-8046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. ROSS NATHAN COHEN
Title or Position: PRESIDENT
Credential:
Phone: 410-266-0602