MEDICARE: ELECTRIC MOBILITY CORPORATION

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	718	AL

General Provider Information

NPI Number	:	1861557621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELECTRIC MOBILITY CORPORATION

Provider Business Mailing Address
First Line	:	591 MANTUA BLVD
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-1016
Country	:	US
Telephone Number	:	856-468-1000
Fax Number	:	856-415-1796

Provider Business Practice Location Address
First Line	:	4000 EAGLE POINT CORPORATE DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35240-0001
Country	:	US
Telephone Number	:	205-314-5716
Fax Number	:	205-314-5728

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT OF FINANCE
Name	:	MR. ART REA
Credential	:
Telephone Number	:	856-468-1000

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	08/22/2020

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Directions to “ELECTRIC MOBILITY CORPORATION ” Practice Location

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