Provider Demographics
NPI:1861138372
Name:AIRECMO, INC.
Entity type:Organization
Organization Name:AIRECMO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:FRAZIER
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:SR
Authorized Official - Credentials:CCP
Authorized Official - Phone:856-264-6089
Mailing Address - Street 1:26 ALDRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3336
Mailing Address - Country:US
Mailing Address - Phone:856-264-6089
Mailing Address - Fax:
Practice Address - Street 1:26 ALDRIDGE WAY
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3336
Practice Address - Country:US
Practice Address - Phone:856-264-6089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-08
Last Update Date:2022-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionistGroup - Single Specialty