Organization
ADVANCE LIFE AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANISLAV BRAGANETS (PRESIDENT)
(267) 307-7741
Entity
Organization
Contact information
Practice address
9965 WINGTIP RD, PHILADELPHIA, PA 19115-1708
(267) 307-7741
Mailing address
9965 WINGTIP RD, PHILADELPHIA, PA 19115-1708
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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