Organization
LIFENET AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA MURSALOV (PRESIDENT)
(267) 444-5044
Entity
Organization
Contact information
Practice address
10067 SANDMEYER LANE, W 413, PHILADELPHIA, PA 19116-3533
(267) 898-0059
(267) 440-0539
Mailing address
10067 SANDMEYER LANE, W 413, PHILADELPHIA, PA 19116-3533
(267) 898-0059
(267) 440-0539
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
12003
PA
Other
Enumeration date
02/23/2012
Last updated
03/22/2012
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