Provider Demographics
NPI:1073634580
Name:EAST-WEST TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:EAST-WEST TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-559-0880
Mailing Address - Street 1:950 BOYLSTON ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEWTON HIGHLANDS
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1518
Mailing Address - Country:US
Mailing Address - Phone:617-559-0880
Mailing Address - Fax:888-819-9214
Practice Address - Street 1:950 BOYLSTON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWTON HIGHLANDS
Practice Address - State:MA
Practice Address - Zip Code:02461-1518
Practice Address - Country:US
Practice Address - Phone:617-559-0880
Practice Address - Fax:888-819-9214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1721305Medicaid