Provider Demographics
NPI:1740007137
Name:BRANDAO TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:BRANDAO TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AGNELO
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-224-2059
Mailing Address - Street 1:50 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5621
Mailing Address - Country:US
Mailing Address - Phone:617-224-2059
Mailing Address - Fax:
Practice Address - Street 1:50 STEWART ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5621
Practice Address - Country:US
Practice Address - Phone:617-224-2059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company