Organization
SUPER MEDICAL CARE INVALID COACH
Active
Organization
SUPER MEDICAL CARE INVALID COACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALAHELDIN MOHAMED (PRESIDENT)
(908) 289-4820
Entity
Organization
Contact information
Practice address
137 W JERSEY ST, ELIZABETH, NJ 07202-2066
(908) 289-4820
Mailing address
137 W JERSEY ST, ELIZABETH, NJ 07202-2066
(908) 289-4820
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
SUP00557
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7723202
—
NJ
Enumeration date
05/05/2007
Last updated
08/22/2020
Update your record
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