Provider Demographics
NPI:1467825497
Name:DUNELLEN RESCUE SQUAD INC.
Entity Type:Organization
Organization Name:DUNELLEN RESCUE SQUAD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:BRACALONI
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:718-210-6982
Mailing Address - Street 1:415 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1222
Mailing Address - Country:US
Mailing Address - Phone:732-968-0477
Mailing Address - Fax:
Practice Address - Street 1:415 NORTH AVE
Practice Address - Street 2:
Practice Address - City:DUNELLEN
Practice Address - State:NJ
Practice Address - Zip Code:08812-1222
Practice Address - Country:US
Practice Address - Phone:732-968-0477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport