Provider Demographics
NPI:1891832333
Name:BLOOMFIELD EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:BLOOMFIELD EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-418-2108
Mailing Address - Street 1:PO BOX 1620
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-1620
Mailing Address - Country:US
Mailing Address - Phone:973-748-6785
Mailing Address - Fax:
Practice Address - Street 1:1 MUNICIPAL PLZ
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3470
Practice Address - Country:US
Practice Address - Phone:973-748-6785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ07110033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport