Provider Demographics
NPI:1417359720
Name:MANVILLE FIRST AID & RESCUE SQUAD
Entity Type:Organization
Organization Name:MANVILLE FIRST AID & RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-725-0903
Mailing Address - Street 1:2 S 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08835-1808
Mailing Address - Country:US
Mailing Address - Phone:908-725-0903
Mailing Address - Fax:908-231-1946
Practice Address - Street 1:2 S 3RD AVE
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08835-1808
Practice Address - Country:US
Practice Address - Phone:908-725-0903
Practice Address - Fax:908-231-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100646341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance