Organization
SUPERIOR INVALID COACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEER TOTEJA (BILLING MANAGER)
(732) 803-1210
Entity
Organization
Contact information
Practice address
324 W CLINTON AVE, BERGENFIELD, NJ 07621-1903
(201) 288-1600
(201) 288-1662
Mailing address
324 W CLINTON AVE, BERGENFIELD, NJ 07621-1903
(201) 288-1600
(201) 288-1662
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
SUPE00558
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6290604
—
NJ
Enumeration date
06/20/2008
Last updated
06/20/2008
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