Organization
ONSITE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C ROTH (BILLING)
(717) 464-0724
Entity
Organization
Contact information
Practice address
2960 CONCORD RD, SUITE A, ASTON, PA 19014-2947
(717) 464-0724
Mailing address
2960 CONCORD RD, SUITE A, ASTON, PA 19014-2947
(717) 464-0724
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03362
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009024550002
—
PA
Enumeration date
11/10/2005
Last updated
08/22/2020
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