Organization
GARDEN STATE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VASSIRIKI SOUMAHORO SOUMAHORO (OWNER)
(917) 495-0352
Entity
Organization
Contact information
Practice address
191 FAIRMOUNT AVE FL 1, NEWARK, NJ 07103-2456
(917) 495-0352
(917) 495-0352
Mailing address
191 FAIRMOUNT AVE FL 1, NEWARK, NJ 07103-2456
(917) 495-0352
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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