Provider Demographics
NPI:1487042081
Name:MEDICUS MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:MEDICUS MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VEZIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-934-3893
Mailing Address - Street 1:1525 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1604
Mailing Address - Country:US
Mailing Address - Phone:973-934-3893
Mailing Address - Fax:201-935-5961
Practice Address - Street 1:1525 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-1604
Practice Address - Country:US
Practice Address - Phone:973-934-3893
Practice Address - Fax:201-935-5961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1017493416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport