Organization
PRIORITY 1 EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CEPHUS (PRESIDENT)
(347) 522-5020
Entity
Organization
Contact information
Practice address
90 E UNION ST STE 12, WILKES BARRE, PA 18701-3210
(347) 522-5020
Mailing address
90 E UNION ST STE 12, WILKES BARRE, PA 18701-3210
(347) 522-5020
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
PA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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