Provider Demographics
NPI:1972906287
Name:GUARDIAN ANGEL AMBULANCE, INC
Entity type:Organization
Organization Name:GUARDIAN ANGEL AMBULANCE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-764-0878
Mailing Address - Street 1:1027 S CLINTON AVE # 3
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-2009
Mailing Address - Country:US
Mailing Address - Phone:609-773-3333
Mailing Address - Fax:
Practice Address - Street 1:1027 S CLINTON AVE # 3
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-2009
Practice Address - Country:US
Practice Address - Phone:609-773-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport