Organization
NACIREMA AMBULANCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM A DIRWEESH (CEO)
(973) 732-8501
Entity
Organization
Contact information
Practice address
2 LACKAWANNA PL, SOUTH ORANGE, NJ 07079
(973) 732-8501
Mailing address
PO BOX 221, LIVINGSTON, NJ 07039-0221
(973) 732-8501
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
MEDICARE PART B
NJ
Enumeration date
07/17/2012
Last updated
11/24/2012
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