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Organization
LIFE STREAMS MEDICAL TRANSPORTATION, INC.
Active
Organization
LIFE STREAMS MEDICAL TRANSPORTATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETCHEL PARAGAS (SUPERVISOR)
(973) 523-4177
Entity
Organization
Contact information
Practice address
625 CENTRAL AVE, NEWARK, NJ 07107-1054
(973) 523-4177
Mailing address
19 CROOKS AVE, PATERSON, NJ 07503-1401
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068155
MEDICARE PTAN
NJ
Enumeration date
07/05/2006
Last updated
05/24/2011
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