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Organization

STATEWIDE EMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOGDAN DEGTERENKO (MANAGER)
(267) 475-7555
Entity
Organization

Contact information

Practice address
67 BUCK RD, 121, HUNTINGDON VALLEY, PA 19006-1535
(267) 475-7555
Mailing address
67 BUCK RD, 121, HUNTINGDON VALLEY, PA 19006-1535
(267) 475-7555

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10043
PA

Other

Enumeration date
12/28/2010
Last updated
12/28/2010
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