Organization
CARE MEDICAL TRANSPORTATION
Active
Other names
PRN Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
SIVA KANAKAMEDALA (PRINCIPLE)
(908) 468-5415
Entity
Organization
Contact information
Practice address
308 PARK AVE E, HAINESPORT, NJ 08036-3609
(609) 265-1953
Mailing address
PO BOX 510, HAINESPORT, NJ 08036-0510
(908) 468-5415
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
PRN0031
NJ
Other
Enumeration date
03/16/2011
Last updated
04/08/2011
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