Organization
MIDLANTIC MEDICAL TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT DISPOTO JR. (CEO)
(215) 224-5100
Entity
Organization
Contact information
Practice address
5512 N FRONT ST, PHILADELPHIA, PA 19120-2921
(215) 224-5100
(215) 224-1200
Mailing address
5512 N FRONT ST, PHILADELPHIA, PA 19120-2921
(215) 224-5100
(215) 224-1200
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05002
PA
Other
Enumeration date
05/22/2006
Last updated
12/10/2009
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