Organization
NEW JERSEY AMBUCARE MEDICAL TRANSPORT LLC
Active
Other names
Genuine Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN JONATHAN VACA EMT (OPERATING MANAGER)
(973) 866-8052
Entity
Organization
Contact information
Practice address
239 MONTGOMERY ST, BLOOMFIELD, NJ 07003-4929
(973) 866-8052
(973) 680-9454
Mailing address
239 MONTGOMERY ST, BLOOMFIELD, NJ 07003-4929
(973) 866-8052
(973) 680-9454
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0712055
NJ
Other
Enumeration date
01/04/2013
Last updated
02/07/2013
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