Provider Demographics
NPI:1588401707
Name:ROSELAND FIRST AID SQUAD
Entity type:Organization
Organization Name:ROSELAND FIRST AID SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PAID SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GERAGHTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-452-6444
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-0014
Mailing Address - Country:US
Mailing Address - Phone:973-403-6062
Mailing Address - Fax:
Practice Address - Street 1:300 EAGLE ROCK AVE
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-1719
Practice Address - Country:US
Practice Address - Phone:973-403-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport