Organization
DESTINY TRANSPORTATION SVC
Active
Organization
DESTINY TRANSPORTATION SVC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA WIDEMAN (AUTHORIZED REPRESENTATIVE)
(866) 698-0052
Entity
Organization
Contact information
Practice address
51 JFK PARKWAY, FIRST FLOOR WEST, SHORT HILLS, NJ 07078-5602
(973) 218-2674
Mailing address
1427 LEXINGTON PL, 2R, ELIZABETH, NJ 07208-2701
(908) 414-1376
(908) 235-4202
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0400410271
NJ
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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