Provider Demographics
NPI:1659139996
Name:WANTAGE TOWNSHIP FIRST AID SQUAD
Entity Type:Organization
Organization Name:WANTAGE TOWNSHIP FIRST AID SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS LIEUTENANT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMETANA
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:973-296-0274
Mailing Address - Street 1:PO BOX 721
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-0721
Mailing Address - Country:US
Mailing Address - Phone:973-296-0274
Mailing Address - Fax:
Practice Address - Street 1:888 STATE RT 23
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-3327
Practice Address - Country:US
Practice Address - Phone:973-296-0274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport