MEDICARE: MUTUAL AID EMERGENCY SERVICES, INC

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	341600000X	Ambulance	N/A	NJ

General Provider Information

NPI Number	:	1346240835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUTUAL AID EMERGENCY SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 1365
Second Line	:
City	:	ABSECON
State	:	NJ
Zip	:	08201-5365
Country	:	US
Telephone Number	:	609-407-7047
Fax Number	:	413-812-0946

Provider Business Practice Location Address
First Line	:	6638 DELILAH RD
Second Line	:	UNIT D
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5659
Country	:	US
Telephone Number	:	609-407-7047
Fax Number	:	413-812-0946

Authorized Official
Title or Position	:	CHIEF OFFICER
Name	:	MR. BARRY JAMES BRUNER
Credential	:
Telephone Number	:	609-407-7047

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	08/22/2020

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