Provider Demographics
NPI:1023359098
Name:M&D TRANSPORTATION SERVICES INC
Entity Type:Organization
Organization Name:M&D TRANSPORTATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:860-442-1919
Mailing Address - Street 1:169 VAUXHALL ST
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-3821
Mailing Address - Country:US
Mailing Address - Phone:860-442-1919
Mailing Address - Fax:860-447-3060
Practice Address - Street 1:169 VAUXHALL ST
Practice Address - Street 2:FLOOR 1
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-3821
Practice Address - Country:US
Practice Address - Phone:860-442-1919
Practice Address - Fax:860-447-3060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1016051343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)