# X PORT MEDICAL SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275936957
- **Authorized official:** HAZIM E ELSAMAN (PRESIDENT)
- **Authorized official phone:** (862) 202-3008

## Contact information

- **Practice address:** 86 CHESTER AVE, 1ST FL, BLOOMFIELD, NJ 07003-5930
- **Practice address phone:** (862) 202-3008
- **Practice address fax:** (908) 259-5746
- **Mailing address:** 86 CHESTER AVE, 1ST FL, BLOOMFIELD, NJ 07003-5930
- **Mailing address phone:** (862) 202-3008
- **Mailing address fax:** (908) 259-5746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 100595 | NJ | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 10/08/2014