# GUARD WELL MEDICAL TRANSPORTATION LLC

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

## Provider details

- **NPI number:** 1558610030
- **Authorized official:** MR. PAVAN PATEL (CEO)
- **Authorized official phone:** (973) 289-8837

## Contact information

- **Practice address:** 56 PATERSON ST FL 2, JERSEY CITY, NJ 07307-3422
- **Practice address phone:** (973) 289-8837
- **Practice address fax:** (888) 908-2749
- **Mailing address:** 56 PATERSON ST FL 2, JERSEY CITY, NJ 07307-3422
- **Mailing address phone:** (973) 289-8837
- **Mailing address fax:** (888) 908-2749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0912021 | NJ | Yes |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 09/12/2012
