TRISTATE DOMESTIC,LLC

Private Vehicle

Active Organization
NPI: 1164620803

Practice Address

12 EVERETT ST
East Orange, NJ 07017

Phone: (973) 678-3030

Specialties

Specialty Code Primary License
Home Health 251E00000X No -
Non-emergency Medical Transport (VAN) 343900000X No -
Private Vehicle 347C00000X Yes -

Frequently Asked Questions

NPI 1164620803 is the National Provider Identifier for TRISTATE DOMESTIC,LLC, a Private Vehicle provider located in East Orange, NJ. This NPI was enumerated on July 4, 2007.

Quick Facts

NPI
1164620803
Type
Organization
Enumerated
Jul 4, 2007
Last Updated
Sep 11, 2025

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