Individual provider · NPI-1

Mohamed Hassan Ahmed

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

NPI number1730305699
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1730305699
Entity type
Individual (NPI-1)
Name
Mohamed Hassan Ahmed
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 18, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)22-3596827NJYes

Practice location

554 Bloomfield Ave
Suite 3d
Bloomfield, NJ 07003

Phone 973-703-8202 · Fax 973-259-1315

Mailing address

554 Bloomfield Ave
Bloomfield, NJ 07003-3307

Phone 973-703-8202 · Fax 973-259-1315

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