Provider Demographics
NPI:1467906719
Name:DELTA LINK LLC
Entity Type:Organization
Organization Name:DELTA LINK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAZIM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ELSAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-202-3008
Mailing Address - Street 1:134 EVERGREEN PL STE 702
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2012
Mailing Address - Country:US
Mailing Address - Phone:862-202-3008
Mailing Address - Fax:862-520-2714
Practice Address - Street 1:134 EVERGREEN PL STE 702
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2012
Practice Address - Country:US
Practice Address - Phone:862-202-3008
Practice Address - Fax:862-520-2714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance