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NPI Code Detail

MEDICARE: MYLE NJ LLC

MEDICARE: MYLE NJ LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1073104873
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYLE NJ LLC
Provider Business Mailing Address
First Line : 20 COMMERCE DR STE 135
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-3614
Country : US
Telephone Number : 917-842-4342
Fax Number :
Provider Business Practice Location Address
First Line : 20 COMMERCE DR STE 135
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-3614
Country : US
Telephone Number : 917-842-4342
Fax Number :
Authorized Official
Title or Position : VP OF STRATEGIC GROWTH
Name : MS. GABRIELLE GORELIK
Credential :
Telephone Number : 917-842-4342
Provider Enumeration Date : 02/03/2021
Last Update Date : 02/03/2021

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Directions to “MYLE NJ LLC ” Practice Location

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