Provider Demographics
NPI:1629751060
Name:GOLDSON TRANSPORT LLC
Entity Type:Organization
Organization Name:GOLDSON TRANSPORT LLC
Other - Org Name:GOLDSON TRANSPORT LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROHAN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:GOLDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DRIVER
Authorized Official - Phone:516-749-2669
Mailing Address - Street 1:86 STILL HILL RD
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-1825
Mailing Address - Country:US
Mailing Address - Phone:516-749-2669
Mailing Address - Fax:
Practice Address - Street 1:86 STILL HILL RD
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-1825
Practice Address - Country:US
Practice Address - Phone:516-749-2669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No344600000XTransportation ServicesTaxi