Provider Demographics
NPI:1639423874
Name:MATAWAN-ABERDEEN FIRST AID SQUAD
Entity Type:Organization
Organization Name:MATAWAN-ABERDEEN FIRST AID SQUAD
Other - Org Name:BAYSHORE EMERGENCY MEDICAL SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-770-7079
Mailing Address - Street 1:28 LITTLE STREET
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747
Mailing Address - Country:US
Mailing Address - Phone:732-395-3536
Mailing Address - Fax:732-441-1350
Practice Address - Street 1:28 LITTLE STREET
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747
Practice Address - Country:US
Practice Address - Phone:732-395-3536
Practice Address - Fax:732-441-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport