Organization
CITY OF ELIZABETH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ELLEN BOLLWAGE (SUPERVISOR EMS BILLING)
(908) 820-4104
Entity
Organization
Contact information
Practice address
50 WINFIELD SCOTT PLZ RM 101, ELIZABETH, NJ 07201-2408
(908) 820-4104
(908) 820-4236
Mailing address
50 WINFIELD SCOTT PLZ, ROOM G10, ELIZABETH, NJ 07201-2408
(908) 820-4098
(908) 820-4236
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4044908
—
NJ
Enumeration date
08/31/2005
Last updated
01/05/2024
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