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Individual

MR. ABUSSAMAA RASUL RAMZIDDIN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MEDICAL TRANSPORT

Contact information

Practice address
207 HERITAGE CT, PENNINGTON, NJ 08534-5285
(609) 815-9187
Mailing address
207 HERITAGE CT, PENNINGTON, NJ 08534-5285
(609) 477-2184

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
J84KXF
NJ
342000000X
Transportation Network Company
Primary
3636HJ
NJ
347C00000X
Private Vehicle
J84KXF
NJ

Other

Enumeration date
02/03/2022
Last updated
12/09/2022
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