Healthcare Provider Details

I. General information

NPI: 1174657316
Provider Name (Legal Business Name): WINSLOW EMERGENCY MEDICAL SERVICES FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 11/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 N ROUTE 73
CEDAR BROOK NJ
08018
US

IV. Provider business mailing address

P. O. BOX 3
CEDAR BROOK NJ
08018
US

V. Phone/Fax

Practice location:
  • Phone: 609-567-5500
  • Fax:
Mailing address:
  • Phone: 856-784-3715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberWINS00641
License Number StateNJ

VIII. Authorized Official

Name: PATRICIA STARR
Title or Position: PRESIDENT
Credential:
Phone: 609-567-5500