Amro H Dafeella
Emergency Medical Technician, Basic in East Orange, NJ. Individual provider (NPI-1).
NPI number1265928139
StatusActive
Last updated in NPPESJul 3, 2018
Details
- NPI
- 1265928139
- Entity type
- Individual (NPI-1)
- Name
- Amro H Dafeella
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2018
- Last updated
- Jul 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146N00000X | Emergency Medical Technician, Basic | – | – | Yes |
Practice location
626 Central Ave Ste 5East Orange, NJ 07018-1438
Phone 973-395-2655 · Fax 973-395-2665
Mailing address
71 S Orange Ave Ste 117South Orange, NJ 07079-1715
Phone 973-395-2655 · Fax 973-395-2665
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