Organization
LIFELINE MEDICAL SERCVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI A HASSAN (PRESIDENT)
(973) 676-7000
Entity
Organization
Contact information
Practice address
54 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7604
(973) 676-7000
(973) 676-7002
Mailing address
54 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-7604
(973) 676-7000
(973) 676-7002
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LIFL04008
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8987807
—
NJ
Enumeration date
10/21/2008
Last updated
10/21/2008
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