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Organization
COASTAL MEDICAL TRANSPORTATION SERVICES LLC
Active
Organization
COASTAL MEDICAL TRANSPORTATION SERVICES LLC
Active
Other names
Coastal Medical Transportation Services LLC - Vacinations
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRE THEOHARIDIS (PRESIDENT)
(508) 694-6687
Entity
Organization
Contact information
Practice address
259 WILLOW ST, YARMOUTH PORT, MA 02675-1762
(617) 682-1854
Mailing address
259 WILLOW ST, YARMOUTH PORT, MA 02675-1762
(617) 682-1854
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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