Provider Demographics
NPI:1598002263
Name:QUALCARE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:QUALCARE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:ELDESSOUKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-884-0333
Mailing Address - Street 1:40 ARGYLE PL # 2
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-2705
Mailing Address - Country:US
Mailing Address - Phone:201-884-0333
Mailing Address - Fax:
Practice Address - Street 1:40 ARGYLE PL # 2
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-2705
Practice Address - Country:US
Practice Address - Phone:201-884-0333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance