Provider Demographics
NPI:1669454419
Name:UPPER SAUCON AMB CORP
Entity Type:Organization
Organization Name:UPPER SAUCON AMB CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:COZZOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-282-1565
Mailing Address - Street 1:5560 CAMP MEETING RD
Mailing Address - Street 2:
Mailing Address - City:CENTER VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18034-8401
Mailing Address - Country:US
Mailing Address - Phone:610-282-1565
Mailing Address - Fax:610-282-1954
Practice Address - Street 1:5560 CAMP MEETING RD
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8401
Practice Address - Country:US
Practice Address - Phone:610-282-1565
Practice Address - Fax:610-282-1954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA041273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012083540Medicaid
PA280208OtherHIGHMARK
PA20026672OtherAMERIHEALTH MERCY HP
PA50003846OtherCAPITAL BLUE CROSS
PA0041378000OtherKEYSTONE HEALTH PLAN EAST
PA1062531OtherKEYSTONE MERCY HP
PA280208OtherKEYSTONE HEALTH PLAN CENT
PA280208OtherHIGHMARK