Organization
GENESIS MEDICAL TRANSPORT
Active
Other names
Genesis Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED J. OMWEGA (GENERAL MANAGER)
(800) 811-9007
Entity
Organization
Contact information
Practice address
2020 DOWNYFLAKE LANE, STE 302B, ALLENTOWN, PA 18103
(800) 811-9007
(610) 572-1942
Mailing address
P.O BOX 1822, BETHLEHEM, PA 18016
(800) 811-9007
(610) 572-1942
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A-6411546
PA
Other
Enumeration date
08/17/2010
Last updated
06/13/2016
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