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Organization
TOWN OF STRATFORD, CONNECTICUT
Active
Organization
TOWN OF STRATFORD, CONNECTICUT
Active
Other names
Stratford Emergency Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
JAY WAHLBERG (FINANCE DIRECTOR)
(203) 385-4040
Entity
Organization
Contact information
Practice address
2712 MAIN ST, STRATFORD, CT 06615-5816
(203) 385-4060
(203) 385-4156
Mailing address
PO BOX 417697, BOSTON, MA 02241-7697
(203) 385-4060
(203) 385-4156
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
C138P1
CT
3416L0300X
Land Ambulance
Primary
C138P1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004169480
—
CT
01
—
P00078413
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
08/09/2018
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