Healthcare Provider Details

I. General information

NPI: 1346229572
Provider Name (Legal Business Name): SOUTH BRUNSWICK EMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 RIDGE RD
MONMOUTH JUNCTION NJ
08852-2643
US

IV. Provider business mailing address

540 RIDGE RD
MONMOUTH JUNCTION NJ
08852-2643
US

V. Phone/Fax

Practice location:
  • Phone: 732-329-4000
  • Fax: 732-329-6325
Mailing address:
  • Phone: 732-329-4000
  • Fax: 732-329-6325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. KEN KERSCH
Title or Position: PRESIDENT
Credential:
Phone: 732-329-4000