MEDICARE: AERO NEMT NON EMERGENCY MEDICAL TRANSPORTATION PHILADELPHIA 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1770046476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AERO NEMT NON EMERGENCY MEDICAL TRANSPORTATION PHILADELPHIA LLC

Provider Business Mailing Address
First Line	:	1500 CHESTNUT ST # 2-1863
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2737
Country	:	US
Telephone Number	:	267-416-9234
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CHESTNUT ST # 2-1863
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2737
Country	:	US
Telephone Number	:	267-416-9234
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALI SYED
Credential	:	OWNER
Telephone Number	:	267-416-9234

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	07/09/2023

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