# MOUNTAINSIDE RESCUE SQUAD BOROUGH OF MOUNTAINSIDE, N.J.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountainside Rescue Squad
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730558719
- **Authorized official:** MR. ERIC D PASTORE EMT (CAPTAIN)
- **Authorized official phone:** (908) 233-6338

## Contact information

- **Practice address:** 1399 ROUTE 22, MOUNTAINSIDE, NJ 07092-2401
- **Practice address phone:** (908) 233-6338
- **Practice address fax:** (908) 233-6573
- **Mailing address:** 1399 ROUTE 22, MOUNTAINSIDE, NJ 07092-2401
- **Mailing address phone:** (908) 233-6338
- **Mailing address fax:** (908) 233-6573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 2011017 | NJ | Yes |

## Other

- **Enumeration date:** 09/18/2015
- **Last updated:** 09/18/2015