Organization
MED-PORT TRANSPORTATION SERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUMEER TOTEJA (BILLING MANAGER)
(732) 906-1800
Entity
Organization
Contact information
Practice address
57 DUFFIELD DR, SOUTH ORANGE, NJ 07079-1015
(973) 762-9314
(973) 762-9257
Mailing address
57 DUFFIELD DR, SOUTH ORANGE, NJ 07079-1015
(973) 762-9314
(973) 762-9257
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
MEDP000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211902
—
NJ
Enumeration date
08/07/2007
Last updated
08/07/2007
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