Organization
PENN STAT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL MUMITH (CHIEF EXECUTIVE OFFICER)
(215) 900-0375
Entity
Organization
Contact information
Practice address
465 PIKE RD, UNIT 117, HUNTINGDON VALLEY, PA 19006-1620
(215) 900-0375
Mailing address
465 PIKE RD, UNIT 117, HUNTINGDON VALLEY, PA 19006-1620
(215) 900-0375
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
PA
Other
Enumeration date
07/23/2011
Last updated
03/17/2014
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