Organization
PREMIER CARE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELVIN J CHARLESTON (PRESIDENT)
(609) 949-1082
Entity
Organization
Contact information
Practice address
17 MADISON LN, SICKLERVILLE, NJ 08081-4410
(609) 949-1082
(856) 875-2275
Mailing address
17 MADISON LN, SICKLERVILLE, NJ 08081-4410
(609) 949-1082
(856) 875-2275
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
100694
NJ
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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