Organization
SOUTH BRANCH EMERGENCY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA STORTZ (PRESIDENT)
(908) 735-4012
Entity
Organization
Contact information
Practice address
48 OLD US HIGHWAY 22, CLINTON, NJ 08809
(908) 735-4012
(908) 735-7125
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CLIN00134
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7218001
—
NJ
Enumeration date
01/17/2006
Last updated
11/03/2020
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