Organization
TCOFB ACM AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BANKS (PRESIDENT)
(973) 794-6206
Entity
Organization
Contact information
Practice address
431 WAGARAW RD, FAIR LAWN, NJ 07410-1344
(973) 794-6206
(973) 949-3053
Mailing address
PO BOX 4261, WAYNE, NJ 07474-4261
(973) 794-6206
(973) 949-3053
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
A0212089
NJ
Other
Enumeration date
12/11/2011
Last updated
08/24/2015
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