Organization
GALLANT MOBIL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAIL AYZIN (PRESIDENT)
(732) 969-2588
Entity
Organization
Contact information
Practice address
995 PORT READING AVE, PORT READING, NJ 07064-1037
(732) 969-2588
(732) 969-2012
Mailing address
995 PORT READING AVE, PORT READING, NJ 07064-1037
(732) 969-2588
(732) 969-2012
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
GALL00216
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7223501
—
NJ
Enumeration date
12/18/2006
Last updated
08/22/2020
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