Organization
JAC MEDI TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COLALILLO (OWNER)
(732) 939-7901
Entity
Organization
Contact information
Practice address
11 TOMASELLO DR, MILLVILLE, NJ 08332-9422
(732) 939-7901
Mailing address
11 TOMASELLO DR, MILLVILLE, NJ 08332-9422
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343900000X
—
NJ
Enumeration date
07/24/2018
Last updated
07/24/2018
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