MEDICARE: A&O TRANSPORT AND RECOVERY CO., 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	101YM0800X	Mental Health Counselor	807401	PA

General Provider Information

NPI Number	:	1134324742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&O TRANSPORT AND RECOVERY CO., INC.

Provider Business Mailing Address
First Line	:	7410 DUNGAN RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3641
Country	:	US
Telephone Number	:	215-778-2504
Fax Number	:	215-728-5912

Provider Business Practice Location Address
First Line	:	3319 KENSINGTON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1438
Country	:	US
Telephone Number	:	215-778-2504
Fax Number	:	215-426-4437

Authorized Official
Title or Position	:	PRESIDENT, DIRECTOR
Name	:	MR. LAWRENCE JOSEPH GALLAGHER JR.
Credential	:	BA, CAC, CJAP
Telephone Number	:	215-778-2504

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	09/11/2008

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