Provider Demographics
NPI:1760978662
Name:W AND M TRANSPORTATION
Entity Type:Organization
Organization Name:W AND M TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAFALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-332-1135
Mailing Address - Street 1:99 LAFAYETTE MILLS RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-2829
Mailing Address - Country:US
Mailing Address - Phone:973-332-1135
Mailing Address - Fax:
Practice Address - Street 1:134 EVERGREEN PL STE 706
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2015
Practice Address - Country:US
Practice Address - Phone:973-332-1135
Practice Address - Fax:862-233-6596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)