Healthcare Provider Details

I. General information

NPI: 1841708914
Provider Name (Legal Business Name): PARAFLIGHTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2018
Last Update Date: 01/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GUDZ RD
LAKEWOOD NJ
08701-2320
US

IV. Provider business mailing address

100 GUDZ RD
LAKEWOOD NJ
08701-2320
US

V. Phone/Fax

Practice location:
  • Phone: 844-538-1911
  • Fax:
Mailing address:
  • Phone: 844-538-1911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK A MERLIN
Title or Position: CHIEF MEDICAL OFFICER
Credential: DO
Phone: 973-650-0342