Doctor Name: | DELVIN CHARLESTON |
NPI Number: | 1245657246 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 100694 |
Business Practice Address: | 17 Madison Ln Sicklerville, NJ - 080814410 |
Business Phone Number: | 8568752273 |
Business Fax Number: | 8568752275 |
Mailing Address: | 17 Madison Ln, SICKLERVILLE |
State: | NJ |
Postal Code: | 080814410 |
Phone Number: | 8568752273 |
Fax Number: | 8568752275 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 100694 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |