Address: 140 Great Rd, Maple Shade, NJ 08052-3048

(DUNS #111684901) is an entity registered with System for Award Management (SAM). The business start date is March 1, 2019.

Business Overview

DUNS Number 111684901 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 8J7T8 (Commercial and Government Entity Code by NATO Codification System)
Entity Structure 2L - Corporate Entity (Not Tax Exempt)
Physical Address 140 Great Rd
Maple Shade
NJ 08052-3048
Mailing Address 140 Great Rd
Maple Shade
NJ 08052-3048
Business Type 23 - Minority Owned Business
2X - For Profit Organization
A2 - Woman Owned Business
OY - Black American Owned
Primary NAICS Code 621111 - Offices of Physicians (except Mental Health Specialists)
NAICS Code 621112 - Offices of Physicians, Mental Health Specialists
Credit Card Usage Y
Debt Subject to Offset N
Incorporation State NJ
Congressional District 01
Registration Purpose Z2 - All Awards
Record Status Active
Business Start Date March 1, 2019
Registration Date February 26, 2020
Expiration Date March 25, 2021
Update Date April 9, 2020
Activation Date April 7, 2020
Fiscal Year End Date 1219

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Tiffany Tucker (DR.)
Address 140 Great Rd, Maple Shade, NJ 08052
Phone Number 2406026023
Email Address [email protected]

Government Business POC

Contact Name & Title Tiffany Tucker (DR.)
Address 140 Great Rd, Maple Shade, NJ 08052
Phone Number 2406026023
Email Address [email protected]

Other Sources

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New York State Liquor License DOUGLAS GRANT 42A 44 E 3RD ST MT VERNON NY 10550
New York State Liquor License BRUMIDI CATERING COMPANY INC &CONSTANTINO BRUMIDI 2075 DEER PARK AVENUE DEER PARK NY 11729
New York State Liquor License RAQUETTE RIVER BREWING LLC 11 BALSAM ST #2 TUPPER LAKE NY 12986
New York State Liquor License MADISON PRODUCE CORP 1307 9 MADISON AVE NEW YORK NY 10028
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New York State Liquor License NORTHSIDE BEVERAGE INC 1795 OLD MAIN RD MATTITUCK NY 11952
New York State Liquor License SMILEY BROTHERS INC 1000 MOUNTAIN REST ROAD H/O LAKE MOHONK NEW PALTZ NY 12561
New York State Liquor License LOUDONVILLE WINE AND SPIRITS INC 475 ALBANY SHAKER RD OSBORNE & ALBANY SHAKER RD ALBANY NY 12211

Office Location

Street Address 140 GREAT RD
City MAPLE SHADE
State NJ
Zip Code 08052

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Business Officer

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City MAPLE SHADE
Zip Code 08052

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Dataset Information

Data Provider System for Award Management (SAM)
Jurisdiction United States

This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.

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