Organization
SWARTHMORE FIRE AND PROTECTIVE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONLEN MERRYMAN BOOTH (CAPTAIN)
(610) 544-2732
Entity
Organization
Contact information
Practice address
121 PARK AVE, SWARTHMORE, PA 19081
(610) 544-2732
(610) 543-4558
Mailing address
PO BOX 1469, MEDIA, PA 19063-8469
(610) 532-9444
(610) 565-3288
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017535620001
—
PA
Enumeration date
01/23/2007
Last updated
11/28/2017
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