Healthcare Provider Details

I. General information

NPI: 1619008265
Provider Name (Legal Business Name): GLOUCESTER TOWNSHIP EMS ALLIANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N BLACK HORSE PIKE SUITE 5D
BLACKWOOD NJ
08012-3098
US

IV. Provider business mailing address

PO BOX 1016
VOORHEES NJ
08043-7016
US

V. Phone/Fax

Practice location:
  • Phone: 856-481-8429
  • Fax: 856-481-4930
Mailing address:
  • Phone: 856-784-3715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberGEB0032
License Number StateNJ

VIII. Authorized Official

Name: RAY CURREY
Title or Position: PRESIDENT
Credential:
Phone: 856-481-4829