Organization
SILVER INVALID COACH
Active
Organization
SILVER INVALID COACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREED ABDULATIF (OWNER)
(973) 821-5446
Entity
Organization
Contact information
Practice address
10 N RIDGEWOOD RD, SUITE 215, SOUTH ORANGE, NJ 07079-1555
(973) 821-5446
(973) 676-2208
Mailing address
10 N RIDGEWOOD RD, SUITE 215, SOUTH ORANGE, NJ 07079-1555
(973) 821-5446
(973) 676-2208
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6588506
NJ
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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