Provider Demographics
NPI:1346894607
Name:RAMADAN, REHAN
Entity Type:Individual
Prefix:
First Name:REHAN
Middle Name:
Last Name:RAMADAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WINETKA LN
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-1372
Mailing Address - Country:US
Mailing Address - Phone:201-779-6391
Mailing Address - Fax:973-846-8606
Practice Address - Street 1:9 WINETKA LN
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1372
Practice Address - Country:US
Practice Address - Phone:201-779-6391
Practice Address - Fax:973-846-8606
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)