Provider Demographics
NPI:1568821890
Name:WEST PATERSON FIRST AID SQUAD
Entity type:Organization
Organization Name:WEST PATERSON FIRST AID SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:973-703-2889
Mailing Address - Street 1:23 ROSE PL
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2602
Mailing Address - Country:US
Mailing Address - Phone:516-680-5209
Mailing Address - Fax:973-279-2453
Practice Address - Street 1:23 ROSE PL
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2602
Practice Address - Country:US
Practice Address - Phone:516-680-5209
Practice Address - Fax:973-279-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1611023341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance