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Organization

TRICARE AT INSPIRA

Active
Other names
Tricare Medical Transportation
Organization subpart
No

Provider details

NPI number
Authorized official
WARREN E. MOORE (EXECUTIVE VICE PRESIDENT & COO)
(856) 641-6602
Entity
Organization

Contact information

Practice address
825 NOAHS RD, PLEASANTVILLE, NJ 08232-4227
(609) 646-1002
(609) 241-6098
Mailing address
165 BRIDGETON PIKE, MULLICA HILL, NJ 08062-2669
(856) 641-6608
(856) 575-5029

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
08/07/2024
Last updated
12/06/2024
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