Individual
KEVIN G IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
646 FAIRVIEW AVE, FAIRVIEW, NJ 07022-1809
(201) 759-7700
Mailing address
646 FAIRVIEW AVE, FAIRVIEW, NJ 07022-1809
(201) 759-7700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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