Provider Demographics
NPI:1871942540
Name:US WAY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:US WAY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHOKRI
Authorized Official - Middle Name:H
Authorized Official - Last Name:DRIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-343-2964
Mailing Address - Street 1:1001 KINGS HWY N APT 305
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1904
Mailing Address - Country:US
Mailing Address - Phone:856-333-0990
Mailing Address - Fax:856-320-4755
Practice Address - Street 1:1001 KINGS HWY N APT 305
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1904
Practice Address - Country:US
Practice Address - Phone:856-333-0990
Practice Address - Fax:856-320-4755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ100583343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)