MEDICARE: COMFORT AMBULANCE

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	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1023388139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT AMBULANCE

Provider Business Mailing Address
First Line	:	2179 BENNETT RD
Second Line	:	UNIT B
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3021
Country	:	US
Telephone Number	:	215-821-8238
Fax Number	:	215-464-5666

Provider Business Practice Location Address
First Line	:	2179 BENNETT RD
Second Line	:	UNIT B
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3021
Country	:	US
Telephone Number	:	215-821-8238
Fax Number	:	215-464-5666

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALEX TESA
Credential	:
Telephone Number	:	215-821-8238

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	01/05/2012

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Directions to “COMFORT AMBULANCE ” Practice Location

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