Organization
LEPCOS INC
Active
Organization
LEPCOS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTANTIN BOGUSLAVSKIY (PRESIDENT)
(732) 602-8937
Entity
Organization
Contact information
Practice address
239 AVENEL ST, SUITE 8, AVENEL, NJ 07001-1400
(732) 602-8937
(732) 602-8991
Mailing address
239 AVENEL ST, SUITE 8, AVENEL, NJ 07001-1400
(732) 602-8937
(732) 602-8991
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6968104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6968104
—
NJ
Enumeration date
03/22/2007
Last updated
08/22/2020
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