Organization
NORTHWEST CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANSAR KAMBAROV (VICE PRESIDENT/ SECRETARY)
(215) 226-7610
Entity
Organization
Contact information
Practice address
11880 BUSTLETON AVE, SUITE 204, PHILADELPHIA, PA 19116-2538
(215) 310-9666
(215) 966-1734
Mailing address
11880 BUSTLETON AVE, SUITE 204, PHILADELPHIA, PA 19116-2538
(215) 310-9666
(215) 966-1734
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
12012
PA
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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