Healthcare Provider Details

I. General information

NPI: 1992837363
Provider Name (Legal Business Name): MOORESTOWN FIRST AID AND EMERGENCY SQUAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 W MAIN STREET
MOORESTOWN NJ
08057-2356
US

IV. Provider business mailing address

PO BOX 18533
PITTSBURGH PA
15236-0533
US

V. Phone/Fax

Practice location:
  • Phone: 856-235-9191
  • Fax: 856-235-1454
Mailing address:
  • Phone: 800-240-6365
  • Fax: 724-234-4703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: DANIEL BRIAN SHEILDS
Title or Position: OWNER
Credential:
Phone: 856-235-9191