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Individual

SALAHADDI S AHMAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
591 SUMMIT AVE STE 201, JERSEY CITY, NJ 07306-2714
(201) 890-4300
(201) 706-2124
Mailing address
591 SUMMIT AVE STE 201, JERSEY CITY, NJ 07306-2714
(201) 890-4300
(201) 706-2124

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-1617150
NJ
Enumeration date
06/07/2018
Last updated
06/07/2018
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