Organization
DELTA INVALID COACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHALID HASSAN (PRESIDENT)
(973) 278-7570
Entity
Organization
Contact information
Practice address
52 COURTLAND ST., 2ND FLOOR, PATERSON, NJ 07503-2947
(973) 278-7570
(973) 278-7797
Mailing address
P.O. BOX 325, PATERSON, NJ 07544-0325
(973) 278-7570
(973) 278-7797
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
DELT00154
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7214804
—
NJ
Enumeration date
05/02/2007
Last updated
08/07/2007
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