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Organization

LIFESTAR RESPONSE OF NEW JERSEY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONNY COLIN (CEO)
(973) 812-7271
Entity
Organization

Contact information

Practice address
657 UNION BLVD, TOTOWA, NJ 07512-2418
(973) 812-7271
(973) 812-1506
Mailing address
657 UNION BLVD, TOTOWA, NJ 07512-2418
(973) 812-7271
(973) 812-1506

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
ADAM00017
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7972300
NJ
Enumeration date
09/29/2005
Last updated
05/05/2011
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