Organization
EXECUTIVE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA VIRGINIA DE LA CRUZ (OWER)
(787) 466-6200
Entity
Organization
Contact information
Practice address
318 21ST AVE, SUITE 318, PATERSON, NJ 07501-3538
(787) 466-6200
Mailing address
318 21ST AVE, SUITE 318, PATERSON, NJ 07501-3538
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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