Organization
MILLENNIUM MEDICAL TRANSPORTATION, INC
Active
Organization
MILLENNIUM MEDICAL TRANSPORTATION, INC
Active
Other names
HEARTLINE AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE DOROTOV (PRESIDENT)
(267) 228-5299
Entity
Organization
Contact information
Practice address
9986 GANTRY RD, REAR BLD #B, PHILADELPHIA, PA 19115-1002
(267) 228-5299
Mailing address
2017B JASON DR., HUNTINGDON VALLEY, PA 19006
(267) 228-5299
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
13002
PA
Other
Enumeration date
01/31/2013
Last updated
03/13/2013
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