Organization
TOWNSHIP OF MEDFORD
Active
Other names
Medford EMS
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BURGER (CFO)
(856) 654-2608
Entity
Organization
Contact information
Practice address
1 FIREHOUSE LN, MEDFORD, NJ 08055-2726
(856) 654-2608
(856) 953-4087
Mailing address
17 N MAIN ST, MEDFORD, NJ 08055-2411
(856) 654-2608
(856) 953-4087
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
1FDKE30F1VHA30421
NJ
3416L0300X
Land Ambulance
1FDXE45F6YHB73115
NJ
3416L0300X
Land Ambulance
Primary
1FDXE45P14HB38887
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7295308
—
NJ
Enumeration date
03/01/2007
Last updated
09/05/2012
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