Organization
WILLIAMS TWSP EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA FULMER (OFFICE MANAGER)
(610) 258-2866
Entity
Organization
Contact information
Practice address
110 RAUBSVILLE RD, EASTON, PA 18042-9746
(610) 253-2204
(610) 253-5737
Mailing address
908 PACKER ST, EASTON, PA 18042-7360
(610) 258-2866
(610) 258-1153
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03204
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010817290004
—
PA
Enumeration date
10/20/2005
Last updated
08/22/2020
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