Healthcare Provider Details

I. General information

NPI: 1477870400
Provider Name (Legal Business Name): BRIATOL RECUE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2010
Last Update Date: 04/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 BRISTOL PIKE
CROYDON PA
19021-8002
US

IV. Provider business mailing address

2041 BRISTOL PIKE
CROYDON PA
19021-8002
US

V. Phone/Fax

Practice location:
  • Phone: 215-785-0512
  • Fax: 215-785-3358
Mailing address:
  • Phone: 215-785-0512
  • Fax: 215-785-3358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StatePA

VIII. Authorized Official

Name: MR. ROBERT L NOTARFRANCESCO
Title or Position: PRESIDENT
Credential:
Phone: 215-785-0512