Organization
INTERSTATE MEDICAL TRANSPORATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE MORALESE-STRADA (OWNER)
(732) 249-1924
Entity
Organization
Contact information
Practice address
525 MILLTOWN RD, SUITE 108, NORTH BRUNSWICK, NJ 08902-3317
(732) 249-1924
(732) 418-1976
Mailing address
525 MILLTOWN RD, SUITE 108, NORTH BRUNSWICK, NJ 08902-3317
(732) 249-1924
(732) 418-1976
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
INPERST05
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6622305
—
NJ
Enumeration date
04/11/2007
Last updated
08/22/2020
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