Provider Demographics
NPI:1588946610
Name:SILVER INVALID COACH
Entity type:Organization
Organization Name:SILVER INVALID COACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREED
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULATIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-821-5446
Mailing Address - Street 1:10 N RIDGEWOOD RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1555
Mailing Address - Country:US
Mailing Address - Phone:973-821-5446
Mailing Address - Fax:973-676-2208
Practice Address - Street 1:10 N RIDGEWOOD RD
Practice Address - Street 2:SUITE 215
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1555
Practice Address - Country:US
Practice Address - Phone:973-821-5446
Practice Address - Fax:973-676-2208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ65885063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport