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Organization
WOODBURY TLC TRANSPORT, INC
Active
Organization
WOODBURY TLC TRANSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL DAVIDS (CFO)
(856) 848-1146
Entity
Organization
Contact information
Practice address
575 WOODBURY GLASSBORO RD, SEWELL, NJ 08080-4563
(856) 256-1390
(856) 256-0656
Mailing address
575 WOODBURY GLASSBORO RD, SEWELL, NJ 08080-4563
(856) 256-1390
(856) 256-0656
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000129000
IBC GROUP
NJ
01
—
1004473
HORIZON NJ HEALTH
NJ
05
—
3295907
—
NJ
01
—
35615
AETNA
NJ
01
—
57259
AMERIGROUP
NJ
01
—
J13285
HEALTHNET
NJ
Enumeration date
05/27/2006
Last updated
08/22/2020
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