Organization
CITY OF PERTH AMBOY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD PERLEE (BA)
(732) 826-0290
Entity
Organization
Contact information
Practice address
260 HIGH ST, PERTH AMBOY, NJ 08861-4451
(732) 826-0290
(732) 914-0470
Mailing address
1000 WASHINGTON ST, C/O DCM INC, TOMS RIVER, NJ 08753-6855
(732) 240-3030
(732) 914-0470
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
N/A
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071013
—
NJ
01
—
P00347146
RAILROAD MEDICARE
NJ
Enumeration date
09/23/2005
Last updated
11/01/2007
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