Provider Demographics
NPI:1275559551
Name:MANFRED TAMBE
Entity Type:Organization
Organization Name:MANFRED TAMBE
Other - Org Name:GRACE TRANSPORTATION AND MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANFRED
Authorized Official - Middle Name:TAMBE
Authorized Official - Last Name:TAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-832-5217
Mailing Address - Street 1:1335 LINDEN AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-2407
Mailing Address - Country:US
Mailing Address - Phone:443-919-7778
Mailing Address - Fax:
Practice Address - Street 1:1335 LINDEN AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-2407
Practice Address - Country:US
Practice Address - Phone:443-919-7778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport