Organization
PENNCROSS AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INTISAR A ESSA (DIRECT OWNER)
(215) 964-4001
Entity
Organization
Contact information
Practice address
67 BUCK RD, SUITE 183 BOX 26, HUNTINGDON VALLEY, PA 19006-1535
(215) 964-4001
(215) 526-2758
Mailing address
67 BUCK RD, SUITE 183 BOX 26, HUNTINGDON VALLEY, PA 19006-1535
(215) 964-4001
(215) 526-2758
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10020
PA
3416L0300X
Land Ambulance
10020
PA
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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