MEDICARE: ANNAPOLIS BUS 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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1316187842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNAPOLIS BUS CO INC

Provider Business Mailing Address
First Line	:	2404 NICHOLS RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7016
Country	:	US
Telephone Number	:	410-266-0602
Fax Number	:	410-266-8046

Provider Business Practice Location Address
First Line	:	2404 NICHOLS RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7016
Country	:	US
Telephone Number	:	410-266-0602
Fax Number	:	410-266-8046

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROSS NATHAN COHEN
Credential	:
Telephone Number	:	410-266-0602

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	09/08/2009

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Directions to “ANNAPOLIS BUS CO INC ” Practice Location

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