MEDICARE: AJB ASSOCIATES

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	332BC3200X	Customized Equipment (DME)	CPED2316	PA

General Provider Information

NPI Number	:	1437381936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJB ASSOCIATES

Provider Business Mailing Address
First Line	:	2510 EVERGREEN DR
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3233
Country	:	US
Telephone Number	:	724-349-0523
Fax Number	:	724-349-0524

Provider Business Practice Location Address
First Line	:	721 PHILADELPHIA ST
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3905
Country	:	US
Telephone Number	:	724-465-9151
Fax Number	:	724-349-0524

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MICHAEL BOIANO
Credential	:	CPED
Telephone Number	:	724-465-9151

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	12/15/2020

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