Organization
KING DAVID ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO MARTINEZ (PRESIDENT)
(973) 485-0100
Entity
Organization
Contact information
Practice address
815 SUMMER AVE, NEWARK, NJ 07104-3521
(973) 485-0100
Mailing address
815 SUMMER AVE, NEWARK, NJ 07104-3521
(973) 485-0100
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146951
—
NJ
Enumeration date
05/19/2008
Last updated
05/19/2008
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