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Organization

MIRACLE INVALID COACH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAIFELDIN SIDAHMED (PRESIDENT)
(908) 355-2235
Entity
Organization

Contact information

Practice address
520 WESTFIELD AVE, SUITE 203, ELIZABETH, NJ 07208-1658
(908) 355-2235
(908) 355-3116
Mailing address
520 WESTFIELD AVE, SUITE 203, ELIZABETH, NJ 07208-1658
(908) 355-2235
(908) 355-3116

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
MIRA00383
NJ

Other

Enumeration date
05/21/2007
Last updated
08/22/2020
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