Provider Demographics
NPI:1548014350
Name:SALIB, ALBIR
Entity type:Individual
Prefix:
First Name:ALBIR
Middle Name:
Last Name:SALIB
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ST NOFAIR
Other - Middle Name:
Other - Last Name:TRANSPORTATION LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:15 SUSAN LN
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3704
Mailing Address - Country:US
Mailing Address - Phone:732-318-4986
Mailing Address - Fax:
Practice Address - Street 1:15 SUSAN LN
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3704
Practice Address - Country:US
Practice Address - Phone:732-318-4986
Practice Address - Fax:201-644-1391
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0451110980343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)