Provider Demographics
NPI:1982106720
Name:ALLTOWN TRANSPORTATION MASS CORP
Entity Type:Organization
Organization Name:ALLTOWN TRANSPORTATION MASS CORP
Other - Org Name:ALLTOWN TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-543-7771
Mailing Address - Street 1:3107 KINGSBRIDGE AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3901
Mailing Address - Country:US
Mailing Address - Phone:718-543-7777
Mailing Address - Fax:718-543-7780
Practice Address - Street 1:3107 KINGSBRIDGE AVE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3901
Practice Address - Country:US
Practice Address - Phone:718-543-7777
Practice Address - Fax:718-543-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)