Organization
LIFE STAR MEDICAL TRANSPORT, LLC
Active
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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