| NPI Details | |
|---|---|
| NPI | 1063693919 |
| Enumeration Date | 11/20/2007 |
| Last Updated | 07/01/2015 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | JACOB JACOB |
| Position | PRESIDENT |
| Phone | (732) 575-1700 |
| Fax | |
| Practice Location | |
|---|---|
| 1750 CEDAR BRIDGE AVE LAKEWOOD NJ, 08701-6921, US |
|
| Phone | (732) 575-1700 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 5 LAKEWOOD NJ, 08701-0005, US |
|
| Phone | (732) 575-1700 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 341600000X |
| License State | New Jersey |
| License Number | G1512050 |
| Remove 1063693919 NPI Number | |
According to our database, Gem Ambulance Llc NPI is 1063693919, taxonomy code is 341600000X and license number is G1512050, license state is located at New Jersey. Gem Ambulance Llc physically located at 1750 Cedar Bridge Ave, Lakewood NJ, 08701-6921. NPI Number 1033115704 has the healthcare provider type.
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1063693919 NPI number is provided on an as is basis without warranty of any kind. 1063693919 is maintained by the National Plan & Provider Enumeration System. The contents of Gem Ambulance Llc are for informational purposes only.
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