Organization
PSP TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDRIS B DENT (OWNER/DRIVER)
(862) 900-3606
Entity
Organization
Contact information
Practice address
280 ORANGE AVE # 1, IRVINGTON, NJ 07111-2129
(862) 900-3606
Mailing address
280 ORANGE AVE # 1, IRVINGTON, NJ 07111-2129
(862) 900-3606
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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