Provider Demographics
NPI:1316117260
Name:DELTA MEDICAL TRANSPORT, INC
Entity type:Organization
Organization Name:DELTA MEDICAL TRANSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-833-5190
Mailing Address - Street 1:67 BUCK RD
Mailing Address - Street 2:SUITE 138
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1535
Mailing Address - Country:US
Mailing Address - Phone:215-942-0762
Mailing Address - Fax:215-942-0763
Practice Address - Street 1:67 BUCK RD
Practice Address - Street 2:SUITE 138
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1535
Practice Address - Country:US
Practice Address - Phone:215-942-0762
Practice Address - Fax:215-942-0763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance