Individual provider · NPI-1

Marques Anderson

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

NPI number1962006312
StatusActive
Last updated in NPPESNov 25, 2020

Details

NPI
1962006312
Entity type
Individual (NPI-1)
Name
Marques Anderson
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 25, 2020
Certification date
Nov 25, 2020
Last updated
Nov 25, 2020

Taxonomy and licenses

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

Practice location

586 Main St Apt Q
Hackensack, NJ 07601-5999

Phone 917-657-2108

Mailing address

586 Main St Apt Q
Hackensack, NJ 07601-5999

Phone 917-657-2108

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