Organization
PENNDEL-MIDDLETOWN EMERGENCY SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE FELICIANO (PRESIDENT)
(215) 757-2663
Entity
Organization
Contact information
Practice address
616 E LINCOLN HWY, LANGHORNE, PA 19047-2905
(215) 757-2663
(215) 757-0222
Mailing address
616 E LINCOLN HWY, LANGHORNE, PA 19047-2905
(215) 757-2663
(215) 757-0222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03256
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006325
AETNA
—
05
—
0008923290001
—
PA
01
—
0023627000
PERSONAL CHOICE
PA
01
—
07935
SENIOR PARTNERS
PA
01
—
47585
KEYSTONE MERCY
PA
01
—
KEYSTONE HEALTH PLAN
0023627000
—
01
—
X000330701
AMERICHOICE
PA
Enumeration date
10/26/2006
Last updated
02/20/2012
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