Organization
BROTHERSCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSMAN A LOMIDZE EMT (PRESIDENT)
(267) 290-6562
Entity
Organization
Contact information
Practice address
11880 BUSTLETON AVE, SUITE 205, PHILADELPHIA, PA 19116-2538
(267) 290-6562
Mailing address
11880 BUSTLETON AVE, SUITE 205, PHILADELPHIA, PA 19116-2538
(267) 290-6562
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
137867
PA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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