Organization
UPPER TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY D POTTER NREMT (CHIEF)
(609) 628-2486
Entity
Organization
Contact information
Practice address
2028 ROUTE 631, WOODBINE, NJ 08270-9630
(609) 628-2486
(609) 628-4610
Mailing address
2100 ROUTE 631, WOODBINE, NJ 08270
(609) 628-2486
(609) 628-4610
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
U0511013
NJ
Other
Enumeration date
06/13/2007
Last updated
09/06/2023
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