Provider Demographics
NPI:1700163698
Name:SEAWAY TRANSPORTATION SERVICES, INC
Entity Type:Organization
Organization Name:SEAWAY TRANSPORTATION SERVICES, INC
Other - Org Name:SEAWAY TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAYASSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-335-1342
Mailing Address - Street 1:71B HIGH ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-4246
Mailing Address - Country:US
Mailing Address - Phone:781-491-0049
Mailing Address - Fax:
Practice Address - Street 1:71B HIGH ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-4246
Practice Address - Country:US
Practice Address - Phone:781-491-0049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALV59280343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)