NPI 1932503331
Mediport LLC
Practice location
- Address
- 14 Roland Rd, Weymouth, MA 02190-1023
- Phone
- (508) 283-0579
- Mailing address
- 42 Park St, Brockton, MA 02301-5220
Authorised official
- Name
- Charles Frank Vaughn
- Title
- Owner
- Phone
- (857) 333-7227
Registered specialties
Secured Medical Transport (VAN)
Primary
Registry record
- NPI
- 1932503331
- Entity type
- Organization
- NPI issued
- 14 Oct 2014
- Record last updated
- 14 Oct 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.