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Organization

GARDEN STATE MEDICAL TRANSPORTATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RUSSELL A CULIN JR. (PRESIDENT)
(201) 488-0170
Entity
Organization

Contact information

Practice address
214 STATE ST, SUITE 203-B, HACKENSACK, NJ 07601-5500
(201) 488-0170
(201) 488-0172
Mailing address
214 STATE ST, SUITE 203-B, HACKENSACK, NJ 07601-5500
(201) 488-0170
(201) 488-0172

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
GARD00220
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356469415
NATIONAL PROVIDER NUMBER
NJ
05
6125701
NJ
01
GARD00220
NJ DEPARTMENT OF HEALTH
NJ
Enumeration date
09/09/2016
Last updated
09/09/2016
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