Individual
AMNI MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 EVERGREEN PL STE 409, EAST ORANGE, NJ 07018-2010
(973) 266-1441
Mailing address
134 EVERGREEN PL STE 409, EAST ORANGE, NJ 07018-2010
(973) 266-1441
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
HUDS00270
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412193592
TAX ID
NJ
Enumeration date
05/06/2014
Last updated
05/13/2014
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