Provider Demographics
NPI:1487829818
Name:DELAWARE VALLEY MEDICAL RESPONSE
Entity Type:Organization
Organization Name:DELAWARE VALLEY MEDICAL RESPONSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:CONNOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:215-499-9291
Mailing Address - Street 1:310 UNION AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRIDGEPORT
Mailing Address - State:PA
Mailing Address - Zip Code:19405-1330
Mailing Address - Country:US
Mailing Address - Phone:215-499-9291
Mailing Address - Fax:610-340-2330
Practice Address - Street 1:2348 E BOSTON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-3015
Practice Address - Country:US
Practice Address - Phone:215-499-9291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-27
Last Update Date:2008-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport