Organization
CRANBURY FIRST AID SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK MOODY (PRESIDENT)
(609) 529-0824
Entity
Organization
Contact information
Practice address
68 MAPLEWOOD AVE, CRANBURY, NJ 08512-3235
(609) 395-1707
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
C1211011
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226670
—
NJ
Enumeration date
09/21/2009
Last updated
06/07/2010
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