Organization
SUCCESS AMERICA
Active
Other names
Professional Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE SCHWARTZ (PRESIDENT)
(215) 828-5936
Entity
Organization
Contact information
Practice address
1813 EASTON RD, WILLOW GROVE, PA 19090-4102
(215) 828-5936
Mailing address
1813 EASTON RD, WILLOW GROVE, PA 19090-4102
(215) 828-5936
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
04025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008148260001
—
PA
01
—
2274060000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
09/06/2007
Last updated
06/16/2008
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