Organization
GARDEN STATE EXECUTIVE TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGARDO COLLAZO SR. (REGISTERED AGENT /OWNER)
(551) 246-4314
Entity
Organization
Contact information
Practice address
468 MARKET ST, PATERSON, NJ 07501-2347
(551) 246-4314
Mailing address
468 MARKET ST, PATERSON, NJ 07501-2347
(551) 246-4314
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/24/2021
Last updated
06/11/2021
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