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Organization

EVERGREEN TRANSPORT;LLC

Active
Other names
EVERGREEN TRANSPORT; LLC
Organization subpart
No

Provider details

NPI number
Authorized official
WAHID S SHIBLI (MANAGER ADMIN)
(732) 207-5893
Entity
Organization

Contact information

Practice address
680 AMBOY AVE, WOODBRIDGE, NJ 07095-3120
(732) 207-5893
(732) 777-1449
Mailing address
8 TREEVIEW LN, CLIFFWOOD, NJ 07721-1268
(732) 207-5893
(732) 777-1449

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
02/03/2020
Last updated
02/03/2020
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