Organization
MED MOBILE EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M RONALDO (DIRECTOR)
(570) 656-5185
Entity
Organization
Contact information
Practice address
29 E 1ST ST, EAST STROUDSBURG, PA 18301-1901
(570) 656-5185
Mailing address
29 E 1ST ST, EAST STROUDSBURG, PA 18301-1901
(570) 656-5185
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3416L0300X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014272190001
—
PA
Enumeration date
03/16/2007
Last updated
07/18/2012
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