Organization
INDIAN MILLS VOLUNTEER FIRE CO NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM GARDNER (BILLING AGENT)
(856) 306-6525
Entity
Organization
Contact information
Practice address
48 WILLOW GROVE RD, SHAMONG, NJ 08088-8214
(609) 268-1114
(609) 268-6800
Mailing address
192 A AVE, ATCO, NJ 08004-2434
(856) 306-6525
(856) 767-3660
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
102809
NJ
Other
Enumeration date
03/10/2016
Last updated
10/24/2016
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