Organization
COUNTY INVALID COACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED H AHMED (OWNER)
(973) 278-5440
Entity
Organization
Contact information
Practice address
126 PENNSYLVANIA AVE, PATERSON, NJ 07503-2512
(973) 278-5440
(973) 278-5299
Mailing address
126 PENNSYLVANIA AVE, PATERSON, NJ 07503-2512
(973) 278-5440
(973) 278-5299
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
COUN00144
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6588409
—
NJ
Enumeration date
04/23/2008
Last updated
04/23/2008
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