Organization
PATRIOT MEDICAL TRANSPORT SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR M DEMATTIA (OWNER)
(301) 290-5202
Entity
Organization
Contact information
Practice address
38588 BRETT WAY, MECHANICSVILLE, MD 20659-7218
(301) 290-5202
(301) 290-5240
Mailing address
38588 BRETT WAY, P,O, BOX 403, MECHANICSVILLE, MD 20659-7218
(301) 290-5202
(301) 290-5240
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
MD.COMM.AMB.LIC#126
MD
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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