MEDICARE: TRANSCARE MARYLAND, 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	3416L0300X	Land Ambulance	586916	MD
2	3416L0300X	Land Ambulance	586918	MD
3	3416L0300X	Land Ambulance	586917	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00231052	OTHER	MD	RAILROAD MEDICARE

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	:	1164425922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSCARE MARYLAND, INC.

Provider Business Mailing Address
First Line	:	1 METROTECH CTR
Second Line	:	20TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3949
Country	:	US
Telephone Number	:	718-763-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 DESOTO RD
Second Line	:	SUITE A
City	:	BALTIMORE
State	:	MD
Zip	:	21223-3222
Country	:	US
Telephone Number	:	410-242-2279
Fax Number	:	410-242-9525

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES O'CONNOR
Credential	:
Telephone Number	:	718-510-9080

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/20/2012

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Directions to “TRANSCARE MARYLAND, INC. ” Practice Location

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