Organization
LINCOLN COACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALAH ELZAIN (PRESIDENT)
(201) 519-2294
Entity
Organization
Contact information
Practice address
265 ROUTE 46 STE 3K, TOTOWA, NJ 07512-1811
(973) 837-6492
(973) 837-6493
Mailing address
PO BOX 4962, CLIFTON, NJ 07015-4962
(201) 519-2294
(973) 636-5836
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
L1642009
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1642009
OEMS
NJ
Enumeration date
02/07/2008
Last updated
02/07/2008
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