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Organization

GALAXY AMBULANCE LLC

Active
Other names
Galaxy Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
EVRIKH Y ASHUROV (OWNER)
(800) 596-5222
Entity
Organization

Contact information

Practice address
110 MAIN ST STE 303, SOUTH AMBOY, NJ 08879-1376
(800) 596-5222
(877) 596-5011
Mailing address
110 MAIN ST STE 303, SOUTH AMBOY, NJ 08879-1376
(800) 596-5222
(877) 596-5011

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1212074
NJ
3416L0300X
Land Ambulance
1212074
NJ
343800000X
Secured Medical Transport (VAN)
1212074
NJ
343900000X
Non-emergency Medical Transport (VAN)
1212074
NJ

Other

Enumeration date
08/30/2012
Last updated
11/09/2020
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