Organization
GALLOWAY TOWNSHIP AMBULANCE SQUAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE BRANDENBERGER (EMS COORDINATOR)
(609) 965-4046
Entity
Organization
Contact information
Practice address
311 CARTON AVE, COLOGNE, NJ 08213
(609) 965-4046
(609) 804-0332
Mailing address
PO BOX 784, POMONA, NJ 08240-0784
(609) 965-4046
(609) 804-0332
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
GALL00219
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7915306
—
NJ
Enumeration date
01/17/2006
Last updated
08/22/2020
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