MEDICARE: EAST-WEST TRANSPORTATION, 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	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073634580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST-WEST TRANSPORTATION, INC.

Provider Business Mailing Address
First Line	:	950 BOYLSTON ST
Second Line	:	SUITE 203
City	:	NEWTON HIGHLANDS
State	:	MA
Zip	:	02461-1518
Country	:	US
Telephone Number	:	617-559-0880
Fax Number	:	888-819-9214

Provider Business Practice Location Address
First Line	:	950 BOYLSTON ST
Second Line	:	SUITE 203
City	:	NEWTON HIGHLANDS
State	:	MA
Zip	:	02461-1518
Country	:	US
Telephone Number	:	617-559-0880
Fax Number	:	888-819-9214

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BORIS TSIZER
Credential	:
Telephone Number	:	617-559-0880

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	08/22/2020

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