# MR. ABUSSAMAA RASUL RAMZIDDIN I

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568115038
- **Gender:** Man
- **Credential:** MEDICAL TRANSPORT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172A00000X | Driver | J84KXF | NJ | — |
| 342000000X | Transportation Network Company | 3636HJ | NJ | Yes |
| 347C00000X | Private Vehicle | J84KXF | NJ | — |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 12/09/2022