Organization
PRIME STAR A TRANSPORTATION INC
Active
Other names
PRIME STAR TRANSPORTATION INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIT PHAIVISHENKO (PRESIDENT)
(267) 444-4404
Entity
Organization
Contact information
Practice address
27 TOMLINSON RD, 114, HUNTINGDON VALLEY, PA 19006-4218
(267) 444-4404
Mailing address
27 TOMLINSON RD, 114, HUNTINGDON VALLEY, PA 19115
(267) 444-4404
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4210600
PA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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