Organization
LIFELINE MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA RUSSO (BILLING MANAGER)
(866) 841-7774
Entity
Organization
Contact information
Practice address
15-19 HEDDEN PL, NEWARK, NJ 07107-1614
(866) 874-7774
(215) 674-1907
Mailing address
15-19 HEDDEN PL, NEWARK, NJ 07107-1614
(866) 841-7774
(215) 674-1907
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
LIFL04008
NJ
Other
Enumeration date
12/10/2013
Last updated
11/16/2015
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