Organization
BLUE STAR MEDICAL TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICH JAVIER ALFONSO (PRESIDENT)
(571) 249-2693
Entity
Organization
Contact information
Practice address
4000 LEGATO RD STE 1100, FAIRFAX, VA 22033-2893
(570) 249-2693
Mailing address
55 SW 9TH ST APT 4409, MIAMI, FL 33130-4516
(571) 249-2693
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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