Organization
ASSISTED INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON DEROZARIO (DIRECTOR)
(323) 275-7309
Entity
Organization
Contact information
Practice address
10 HILL ST, 20E, NEWARK, NJ 07102-5601
(323) 275-7309
Mailing address
10 HILL ST, 20E, NEWARK, NJ 07102-5601
(323) 275-7309
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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