Organization
MERCY MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN R JEAN (OWNER)
(973) 223-3499
Entity
Organization
Contact information
Practice address
59 MAIN ST, SUITE 303, WEST ORANGE, NJ 07052-5341
(973) 223-3499
Mailing address
59 MAIN ST, SUITE 303, WEST ORANGE, NJ 07052-5341
(973) 223-3499
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
100695
NJ
Other
Enumeration date
08/18/2014
Last updated
09/03/2014
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