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Organization
OLD SAYBROOK AMBULANCE ASSN INC.
Active
Organization
OLD SAYBROOK AMBULANCE ASSN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROBERT CASTRO PA-C (PRESIDENT)
(860) 388-9889
Entity
Organization
Contact information
Practice address
316 MAIN STREET, OLD SAYBROOK, CT 06475
(860) 388-0161
(860) 388-9548
Mailing address
195 ROUTE 80, KILLINGWORTH, CT 06419
(860) 257-9201
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004052981
—
CT
01
—
590069808
RAILROAD MEDICARE
—
Enumeration date
10/26/2005
Last updated
04/29/2024
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