Organization
AMIR ABDALLA MOHAMED ALI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR A MOHAMED ALI (OWNER)
(973) 418-6078
Entity
Organization
Contact information
Practice address
1100 GREEN ST, ISELIN, NJ 08830
(732) 283-9788
(732) 283-9784
Mailing address
1100 GREEN ST, ISELIN, NJ 08830
(732) 283-9788
(732) 283-9784
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
ADDI00019
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7444206
MEDCAID
NJ
Enumeration date
05/02/2007
Last updated
03/12/2009
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