Organization
BRANDYWINE HOSPITAL MEDICAL TRANSPORT LLC
Active
Other names
Medic 93
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROTH (BILLING ADMIN.)
(717) 464-0724
Entity
Organization
Contact information
Practice address
201 REECEVILLE ROAD, COATESVILLE, PA 19320
(610) 383-8768
Mailing address
PO BOX 329, WILLOW STREET, PA 17584-0329
(717) 464-0724
(717) 464-9775
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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