Organization
AVONDALE FIRE COMPANY EMS DIVISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NUSE (EMS SUPERVISOR)
(610) 268-2486
Entity
Organization
Contact information
Practice address
23 FIREHOUSE WAY, AVONDALE, PA 19311-1418
(610) 268-2486
(610) 268-3573
Mailing address
23 FIREHOUSE WAY, AVONDALE, PA 19311-1418
(610) 268-2486
(610) 268-3573
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007717260002
—
PA
05
—
419086600
—
MD
Enumeration date
01/11/2006
Last updated
05/28/2024
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