Provider Demographics
NPI:1982213401
Name:ASTYM LOGISTICS INCOPORATED
Entity Type:Organization
Organization Name:ASTYM LOGISTICS INCOPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-430-9068
Mailing Address - Street 1:3010 BORDENTOWN AVE STE B5
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1181
Mailing Address - Country:US
Mailing Address - Phone:732-430-9068
Mailing Address - Fax:732-525-0001
Practice Address - Street 1:3010 BORDENTOWN AVE STE B5
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1181
Practice Address - Country:US
Practice Address - Phone:732-430-9068
Practice Address - Fax:732-525-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)