Organization
LIFE STAR MEDICAL TRANSPORT, LLC
Active
Other names
Life Star Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILYA IOFIK (PRESIDENT)
(215) 776-3224
Entity
Organization
Contact information
Practice address
111 BUCK RD, 200-6, HUNTINGDON VALLEY, PA 19006-1544
(215) 776-3224
Mailing address
7 ESSEX LN, LANGHORNE, PA 19047-2038
(215) 776-3224
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
10037
PA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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