Provider Demographics
NPI:1659506541
Name:BLOOMSBURY RESCUE SQUAD
Entity type:Organization
Organization Name:BLOOMSBURY RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-479-6072
Mailing Address - Street 1:88 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08804-0022
Mailing Address - Country:US
Mailing Address - Phone:908-479-6221
Mailing Address - Fax:908-479-1950
Practice Address - Street 1:88 MAIN ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURY
Practice Address - State:NJ
Practice Address - Zip Code:08804-3068
Practice Address - Country:US
Practice Address - Phone:908-479-6221
Practice Address - Fax:908-479-1950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance