Organization
BOROUGH OF CLIFFSIDE PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL DELEON (CHIEF)
(201) 313-2062
Entity
Organization
Contact information
Practice address
525 PALISADE AVE, CLIFFSIDE PARK, NJ 07010-2914
(732) 240-3030
(732) 914-0470
Mailing address
1000 WASHINGTON ST, C/O DCM INC., TOMS RIVER, NJ 08753-6855
(732) 240-3030
(732) 914-0470
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
N/A
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9104801
—
NJ
Enumeration date
09/23/2005
Last updated
08/22/2020
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