Organization
EMSSTAR LLC
Active
Parent organization
EMSSTAR LLC
Other names
Em-Star Ambulance Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMSSTAR LLC
Authorized official
MR. DEAN A BOLLENDORF (PRESIDENT)
(215) 764-8803
Entity
Organization
Contact information
Practice address
1601 BOULEVARD AVE, PENNSAUKEN, NJ 08110-4011
(215) 764-8803
(215) 827-5608
Mailing address
300 DOMINO LN, PHILADELPHIA, PA 19128-4352
(215) 764-8803
(215) 827-5608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMST22015
NJ
343900000X
Non-emergency Medical Transport (VAN)
EMST22015
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077488
—
NJ
05
—
1011955800001
—
PA
Enumeration date
06/26/2008
Last updated
06/26/2008
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