Evergreen Transport;llc
NPI #1295366789 in Woodbridge, New Jersey
Provider Information
- NPI Number
- 1295366789
- Entity Type
- Organization
- Organization Name
- Evergreen Transport;llc
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Feb 3, 2020
Practice Location
- Address
- 680 AMBOY AVE
- City
- Woodbridge
- State
- New Jersey
- ZIP Code
- 07095-3120
- Phone
- (732) 207-5893
Authorized Official
- Name
- WAHID S SHIBLI
- Title
- MANAGER ADMIN
- Phone
- (732) 207-5893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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