Individual
EDDIE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 WILLIAMS ST, EASTON, PA 18042-6478
(201) 247-6060
Mailing address
615 WILLIAMS ST, EASTON, PA 18042-6478
(201) 247-6060
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
334821544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
334821544
SIS & BRO MEDICAL SERVICES
PA
05
—
334821544
—
PA
Enumeration date
05/14/2025
Last updated
05/14/2025
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