Organization
AMBUSTAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUI S CHUNG (OWNER)
(215) 262-0355
Entity
Organization
Contact information
Practice address
5512 N 5TH ST, PHILADELPHIA, PA 19120-2806
(215) 262-0355
Mailing address
5512 N 5TH ST, PHILADELPHIA, PA 19120-2806
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
09024
PA
Other
Enumeration date
10/02/2009
Last updated
10/29/2009
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