Organization
PREMIAER CARE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELVIN JAMES CHARLESTON (OWNER)
(609) 254-3107
Entity
Organization
Contact information
Practice address
17 MADISON LN, SICKLERVILLE, NJ 08081-4410
(856) 875-2273
(856) 875-2275
Mailing address
17 MADISON LN, SICKLERVILLE, NJ 08081-4410
(856) 875-2273
(856) 875-2275
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
100694
NJ
343900000X
Non-emergency Medical Transport (VAN)
100694
NJ
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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