MEDICARE: ASSOCIATED MEDICAL SPECIALTIES, 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	332B00000X	Durable Medical Equipment & Medical Supplies		PA

General Provider Information

NPI Number	:	1366673170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED MEDICAL SPECIALTIES, INC.

Provider Business Mailing Address
First Line	:	2901 SOUTHAMPTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-1208
Country	:	US
Telephone Number	:	215-677-4486
Fax Number	:	215-677-3644

Provider Business Practice Location Address
First Line	:	8848 FRANKFORD AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19136-1313
Country	:	US
Telephone Number	:	215-331-1819
Fax Number	:	215-331-3402

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. MITCHELL I BALABAN
Credential	:
Telephone Number	:	215-677-4486

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	07/06/2011

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