Individual
NASRALDIN OMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 KNORR ST FL 1, PHILADELPHIA, PA 19111-4809
(215) 554-9749
Mailing address
1031 KNORR ST FL 1, PHILADELPHIA, PA 19111-4809
(215) 554-9749
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
7090305
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXX8445
NON EMERGENCY MEDICAL TRANSPORTATION
PA
Enumeration date
05/17/2021
Last updated
05/17/2021
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