Organization
MED STAR MEDICALTRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN ALEN SASSO (OWNER)
(551) 265-5692
Entity
Organization
Contact information
Practice address
439 FORT LEE RD, LEONIA, NJ 07605-1132
(551) 265-5692
(201) 754-9756
Mailing address
439 FORT LEE RD, LEONIA, NJ 07605
(551) 265-5692
(201) 754-9756
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
554828554076050
NJ
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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