Organization
FORKS TOWNSHIP EMERGENCY SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE L NUTTALL (BILLING SUPERVISOR)
(610) 253-7416
Entity
Organization
Contact information
Practice address
2016 SULLIVAN TRL, EASTON, PA 18040-8338
(610) 253-7416
(610) 253-9550
Mailing address
PO BOX 284, EASTON, PA 18044-0284
(610) 253-7416
(610) 253-9550
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04112
PA
Other
Enumeration date
07/07/2005
Last updated
08/22/2020
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