Organization
HEALTH GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VALERIY IZRAILOV (PRESIDENT OF THE COMPANY)
(732) 254-9155
Entity
Organization
Contact information
Practice address
646 STATE ROUTE 18 BLDG B STE 110, EAST BRUNSWICK, NJ 08816-3722
(732) 254-9155
Mailing address
34 ALPINE DR, MORGANVILLE, NJ 07751-1276
(732) 617-9251
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7356901
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7356901
—
NJ
Enumeration date
04/06/2007
Last updated
08/22/2020
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