X Port Medical Service LLC

NPI #1275936957 in Bloomfield, New Jersey

Provider Information

NPI Number: 1275936957
Entity Type: Organization
Organization Name: X Port Medical Service LLC
Primary Specialty: Ambulance
Enumeration Date: Oct 8, 2014
Last Updated: Oct 8, 2014

Practice Location

Address: 86 CHESTER AVE
Address 2: 1ST FL
City: Bloomfield
State: New Jersey
ZIP Code: 07003-5930
Phone: (862) 202-3008

Authorized Official

Name: HAZIM E ELSAMAN
Title: PRESIDENT
Phone: (862) 202-3008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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