Provider Demographics
NPI:1376268912
Name:COLSONS MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:COLSONS MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAONE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-573-8150
Mailing Address - Street 1:31 LEHIGH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07112-2503
Mailing Address - Country:US
Mailing Address - Phone:973-573-8150
Mailing Address - Fax:866-800-9788
Practice Address - Street 1:31 LEHIGH AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07112-2503
Practice Address - Country:US
Practice Address - Phone:973-573-8150
Practice Address - Fax:866-800-9788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)