Organization
EAGLE TES MEDICAL TRANSPORTATION
Active
Organization
EAGLE TES MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASMAT ABUSHANAB MT (CEO-OWNER)
(201) 478-2584
Entity
Organization
Contact information
Practice address
2978 KENNEDY BLVD STE 195, JERSEY CITY, NJ 07306-3820
(201) 478-2584
Mailing address
2978 KENNEDY BLVD STE 195, JERSEY CITY, NJ 07306-3820
(201) 478-2584
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
0400497218
NJ
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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