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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