Organization
MARDIA TRANSPORT SERVICE
Active
Other names
Mardia Transport Service
Organization subpart
No
Provider details
NPI number
Authorized official
MARDIA PAYNE-PHILLIPS (PRESIDENT)
(609) 222-1110
Entity
Organization
Contact information
Practice address
17 BELMONT LN, WILLINGBORO, NJ 08046-1633
(609) 222-1110
(609) 614-2065
Mailing address
17 BELMONT LN, WILLINGBORO, NJ 08046-1633
(609) 222-1110
(609) 614-2065
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2409347
TRANSPORTATION SERVICE
NJ
Enumeration date
06/23/2021
Last updated
06/23/2021
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