Organization
STATUS INVALID COACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD A AHMAD (PRESEDENT)
(201) 780-9577
Entity
Organization
Contact information
Practice address
71 QUARRY ST, NUTLEY, NJ 07110-1914
(201) 864-2224
(201) 864-2235
Mailing address
PO BOX 17378, JERSEY CITY, NJ 07307-7378
(201) 864-2224
(201) 864-2235
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
STAT00550
NJ
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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