Organization
BOOMERANG TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA IOSIM (PRESIDENT)
(973) 912-9444
Entity
Organization
Contact information
Practice address
901 MOUNTAIN AVE, ECHO PLAZA 2ND FL, SPRINGFIELD, NJ 07081-3414
(973) 912-9444
(973) 912-9455
Mailing address
901 MOUNTAIN AVE, ECHO PLAZA 2ND FL, SPRINGFIELD, NJ 07081-3414
(973) 912-9444
(973) 912-9455
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BOO018
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1089561
HORIZON NJ HEALTH ID
NJ
05
—
7661606
—
NJ
Enumeration date
03/19/2007
Last updated
08/22/2020
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