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Organization

MEDIPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES FRANK VAUGHN JR. (OWNER)
(857) 333-7227
Entity
Organization

Contact information

Practice address
14 ROLAND RD, WEYMOUTH, MA 02190-1023
(508) 283-0579
Mailing address
42 PARK ST, BROCKTON, MA 02301-5220
(857) 333-7227

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary

Other

Enumeration date
10/14/2014
Last updated
10/14/2014
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