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Organization
WATERFORD AMBULANCE SERVICE, INC
Active
Organization
WATERFORD AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL WISEMAN (PRESIDENT)
(860) 389-2701
Entity
Organization
Contact information
Practice address
454 BOSTON POST RD, WATERFORD, CT 06385-1510
(860) 477-9301
Mailing address
PO BOX 165, BRANFORD, CT 06405-0165
(860) 663-3634
(860) 452-4430
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004172897
—
CT
01
—
710C152A2CT01
BLUE CROSS/BLUE SHIELD
—
Enumeration date
02/09/2006
Last updated
06/16/2026
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