Provider Demographics
NPI:1669115812
Name:PUJOLS, SAMUEL (TRANSPORTATION)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:PUJOLS
Suffix:
Gender:M
Credentials:TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 RUTGERS ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-2535
Mailing Address - Country:US
Mailing Address - Phone:862-276-1698
Mailing Address - Fax:
Practice Address - Street 1:115 RUTGERS ST FL 2
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-2535
Practice Address - Country:US
Practice Address - Phone:862-276-1698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WV0202XOther Service ProvidersContractorVehicle Modifications