Organization
ULTRA TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR GALIBOV (OWNER)
(215) 779-1628
Entity
Organization
Contact information
Practice address
10780 LOCKART RD, PHILADELPHIA, PA 19116-3132
(215) 779-1628
(215) 947-6667
Mailing address
10780 LOCKART RD, PHILADELPHIA, PA 19116-3132
(215) 779-1628
(215) 947-6667
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
PA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
PA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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