Organization
BOROUGH OF FORT LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL FAVIA EMT (EMS DIRECTOR)
(201) 592-3637
Entity
Organization
Contact information
Practice address
309 MAIN ST, FORT LEE, NJ 07024-4705
(201) 347-2114
Mailing address
20 E TAUNTON RD STE 500, BERLIN, NJ 08009-2615
(866) 476-1702
(609) 481-2270
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223859
—
NJ
Enumeration date
11/05/2008
Last updated
12/07/2023
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