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Nasraldin Omer
Private Vehicle in Philadelphia, Pennsylvania
NPI 1275107021

Nasraldin Omer is a Private Vehicle based in Philadelphia, PA. Nasraldin Omer practices in Philadelphia, PA. The NPI Number for Nasraldin Omer is 1275107021 and holds a License No. 7090305 (Pennsylvania).

The current practice location address for Nasraldin Omer is 1031 Knorr St Fl 1, Philadelphia, PA and can be reached out via phone at 215-554-9749. You can also correspond with Nasraldin Omer through the mailing address at 1031 KNORR ST FL 1, PHILADELPHIA, PA - 19111-4809 (mailing address contact number: 215-554-9749).

Location: 1031 Knorr St Fl 1, Philadelphia, PA, 19111-4809
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Provider Profile Details
NPI Number
1275107021
Provider Name
Nasraldin Omer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1031 Knorr St Fl 1, Philadelphia, PA, 19111-4809
Phone Number
215-554-9749
Fax Number
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XXXXX8445 01 PA NON EMERGENCY MEDICAL TRANSPORTATION
institution
Provider Business Practice Location Address Details
Address
1031 Knorr St Fl 1
City
State
Zip
19111-4809
Phone Number
215-554-9749
Fax Number
person
Provider Business Mailing Address Details
Address
1031 Knorr St Fl 1
City
State
Zip
19111-4809
Phone Number
215-554-9749
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
7090305 (Pennsylvania)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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