| NPI | 1760747612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA GUBA President 215-444-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: PA 14016) |
| Additional Taxonomies | 341600000X Ambulance (Licence: PA 12034) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2014-11-24 |