Provider Demographics
NPI:1124419064
Name:MASS ORDER MEDICAL TRANSPORT, INCORPORATED
Entity Type:Organization
Organization Name:MASS ORDER MEDICAL TRANSPORT, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ORPHELIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-338-3321
Mailing Address - Street 1:59 MAIN ST STE 110A
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-5333
Mailing Address - Country:US
Mailing Address - Phone:877-338-3321
Mailing Address - Fax:973-913-4392
Practice Address - Street 1:59 MAIN ST STE 110A
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5333
Practice Address - Country:US
Practice Address - Phone:877-338-3321
Practice Address - Fax:973-913-4392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport