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NPI Code Detail

MEDICARE: CREDO TRANS, INC

MEDICARE: CREDO TRANS, 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
13416L0300XLand Ambulance

General Provider Information

NPI Number : 1417236191
Entity Type Code : Organization
Provider Name (Legal Business Name) : CREDO TRANS, INC
Provider Business Mailing Address
First Line : 10075 SANDMEYER LN
Second Line : SUITE E
City : PHILADELPHIA
State : PA
Zip : 19116-3501
Country : US
Telephone Number : 215-667-8396
Fax Number :
Provider Business Practice Location Address
First Line : 10075 SANDMEYER LN
Second Line : SUITE E
City : PHILADELPHIA
State : PA
Zip : 19116-3501
Country : US
Telephone Number : 215-667-8396
Fax Number :
Authorized Official
Title or Position : PRS.
Name : FLORIAN BRAUSHI
Credential :
Telephone Number : 215-667-8396
Provider Enumeration Date : 08/11/2011
Last Update Date : 08/11/2011

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Directions to “CREDO TRANS, INC ” Practice Location

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