Organization Name: | WATERFORD TOWNSHIP EMS INC |
NPI Number: | 1801003421 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM GARDNER (DEPUTY CHIEF) |
Mailing Address: | 192 A Ave Atco |
State: | NJ US |
Postal Code: | 080042434 |
Phone Number: | 8563066525 |
Fax Number: | 8567673660 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 08/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | WATERF015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |