Organization
PETER PAN TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM ELSHEIKH (PRESIDENT)
(973) 445-0784
Entity
Organization
Contact information
Practice address
269 WILLARD PL, NORTH PLAINFIELD, NJ 07060-4485
(973) 445-0784
Mailing address
269 WILLARD PL, NORTH PLAINFIELD, NJ 07060-4485
(973) 445-0784
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5327008
—
NJ
Enumeration date
04/18/2007
Last updated
08/22/2020
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