Organization
VESUR LLC
Active
Other names
Vesur Invalid Coach
Organization subpart
No
Provider details
NPI number
Authorized official
POLINA MURICO (PRESIDENT)
(973) 328-0094
Entity
Organization
Contact information
Practice address
448 QUAKER CHURCH RD, RANDOLPH, NJ 07869-1373
(973) 328-0094
(973) 328-0309
Mailing address
448 QUAKER CHURCH RD, RANDOLPH, NJ 07869
(973) 328-0094
(973) 328-0309
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6965008
—
NJ
Enumeration date
05/01/2007
Last updated
08/22/2020
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