Organization · NPI-2

Garden State Medical Transportation, INC

Non-emergency Medical Transport (VAN) · Hackensack, NJ

NPI number1699222406
StatusActive
Last updated in NPPESSep 9, 2016

Details

NPI
1699222406
Entity type
Organization (NPI-2)
Legal business name
Garden State Medical Transportation, INC
Organization subpart
No
Enumeration date
Sep 9, 2016
Last updated
Sep 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)Gard00220NJYes

Practice location

214 State St
Suite 203-B
Hackensack, NJ 07601-5500

Phone 201-488-0170 · Fax 201-488-0172

Mailing address

214 State St
Suite 203-B
Hackensack, NJ 07601-5500

Phone 201-488-0170 · Fax 201-488-0172

Authorized official

Russell A Culin
President
2014880170

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