MEDICARE: DELCO AMBULANCE LLC

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	341600000X	Ambulance

General Provider Information

NPI Number	:	1508125139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELCO AMBULANCE LLC

Provider Business Mailing Address
First Line	:	3415 WEST CHESTER PIKE
Second Line	:	SUITE 104
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4209
Country	:	US
Telephone Number	:	610-353-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 WEST CHESTER PIKE
Second Line	:	SUITE 104
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-4209
Country	:	US
Telephone Number	:	610-353-0900
Fax Number	:

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT
Name	:	KARLEN GHAZARYAN
Credential	:
Telephone Number	:	484-410-1474

Provider Enumeration Date	:	05/16/2012
Last Update Date	:	05/16/2012

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Directions to “DELCO AMBULANCE LLC ” Practice Location

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