Organization
WANAMASSA FIRST AID SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL H GIFFORD (TRUSTEE)
(732) 433-0901
Entity
Organization
Contact information
Practice address
1401 WICKAPECKO DRIVE, OCEAN, NJ 07712-4201
(732) 915-4304
(732) 988-3089
Mailing address
1401 WICKAPECKO DR, OCEAN, NJ 07712-4201
(732) 455-0748
(732) 988-3089
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1311074
NJ
Other
Enumeration date
04/03/2012
Last updated
02/16/2022
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