# TCOFB ACM AMBULANCE

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

## Provider details

- **NPI number:** 1699043240
- **Authorized official:** TIM BANKS (PRESIDENT)
- **Authorized official phone:** (973) 794-6206

## Contact information

- **Practice address:** 431 WAGARAW RD, FAIR LAWN, NJ 07410-1344
- **Practice address phone:** (973) 794-6206
- **Practice address fax:** (973) 949-3053
- **Mailing address:** PO BOX 4261, WAYNE, NJ 07474-4261
- **Mailing address phone:** (973) 794-6206
- **Mailing address fax:** (973) 949-3053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | A0212089 | NJ | Yes |

## Other

- **Enumeration date:** 12/11/2011
- **Last updated:** 08/24/2015