Organization
MED-X @HOME
Active
Other names
ambi-net transportation
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD AUGUST (ADMINISTRATOR)
(732) 721-3700
Entity
Organization
Contact information
Practice address
540 BORDENTOWN AVE, STE 4550, SOUTH AMBOY, NJ 08879-1546
(732) 721-3700
(732) 721-2860
Mailing address
PO BOX 715, MATAWAN, NJ 07747-0715
(732) 721-3700
(732) 721-2860
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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