MEDICARE: PTM TRANSPORTATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	1609205	NJ
2	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1447598347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PTM TRANSPORTATION, LLC

Provider Business Mailing Address
First Line	:	800 LINCOLN AVE
Second Line	:
City	:	MARMORA
State	:	NJ
Zip	:	08223-1837
Country	:	US
Telephone Number	:	609-573-2226
Fax Number	:	609-478-6388

Provider Business Practice Location Address
First Line	:	800 LINCOLN AVE
Second Line	:
City	:	MARMORA
State	:	NJ
Zip	:	08223-1837
Country	:	US
Telephone Number	:	609-573-2226
Fax Number	:	609-478-6388

Authorized Official
Title or Position	:	CEO
Name	:	MR. PATRICK THOMAS MULLEN
Credential	:
Telephone Number	:	609-573-2226

Provider Enumeration Date	:	01/28/2013
Last Update Date	:	03/08/2023

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Directions to “PTM TRANSPORTATION, LLC ” Practice Location

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