Provider Demographics
NPI:1750069720
Name:GENTELTRANS LLC
Entity type:Organization
Organization Name:GENTELTRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHAMMA
Authorized Official - Suffix:SR
Authorized Official - Credentials:NEMT
Authorized Official - Phone:518-275-3271
Mailing Address - Street 1:7 QUAKER ST
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4136
Mailing Address - Country:US
Mailing Address - Phone:518-275-3271
Mailing Address - Fax:
Practice Address - Street 1:7 QUAKER ST
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4136
Practice Address - Country:US
Practice Address - Phone:518-275-3271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)