Organization
TOWNSHIP OF ROCHELLE PARK
Active
Other names
Rochelle Park EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND C JACOBSEN E.M.T. (ADMINISTRATOR)
(201) 587-7744
Entity
Organization
Contact information
Practice address
1 LOTZ LN, ROCHELLE PARK, NJ 07662-4100
(201) 587-7744
(201) 587-7741
Mailing address
151 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3105
(201) 587-7744
(201) 587-7741
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0211060
NJ DEPT. OF HEALTH & SENIOR SERVICES
NJ
Enumeration date
07/08/2010
Last updated
10/28/2010
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