| Organization Name: | TRICARE MEDICAL TRANSPORTATION LLC |
| NPI Number: | 1407158694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUMEER TOTEJA (BILLING MANAGER) |
| Mailing Address: | 5 Taggart Way Saddle Brook |
| State: | NJ US |
| Postal Code: | 076634419 |
| Phone Number: | 6096461002 |
| Fax Number: | 6096461004 |
| NPI Enumeration Date: | 11/22/2010 |
| NPI Last Update Date: | 11/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | T0212087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |