Organization
SILVER INVALID COACH
Active
Organization
SILVER INVALID COACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAREED ABDULATIF (OWNER)
(973) 763-0122
Entity
Organization
Contact information
Practice address
10 N RIDGEWOOD RD APT 215, SOUTH ORANGE, NJ 07079-1553
(973) 763-0122
Mailing address
10 N RIDGEWOOD RD # 215, SOUTH ORANGE, NJ 07079
(973) 763-0122
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6588506
NJ
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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