MEDICARE: LINDEN YELLOW CAB

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
1	344600000X	Taxi

General Provider Information

NPI Number	:	1275027732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDEN YELLOW CAB

Provider Business Mailing Address
First Line	:	1921 E ELIZABETH AVE
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-1411
Country	:	US
Telephone Number	:	908-354-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 E ELIZABETH AVE
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-1411
Country	:	US
Telephone Number	:	908-354-8888
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. WAYNE POHIDA
Credential	:
Telephone Number	:	908-377-2733

Provider Enumeration Date	:	06/19/2018
Last Update Date	:	06/19/2018

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