Divine Group
NPI #1770359457 in North Bergen, New Jersey
Provider Information
- NPI Number
- 1770359457
- Entity Type
- Organization
- Organization Name
- Divine Group
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 4, 2023
- Last Updated
- Dec 5, 2023
Practice Location
- Address
- 4607 TONNELLE AVE APT 305
- City
- North Bergen
- State
- New Jersey
- ZIP Code
- 07047-3076
- Phone
- (347) 830-0772
Authorized Official
- Name
- MUSA GIWA
- Title
- MANAGER
- Phone
- (347) 830-0772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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