Organization
ESSEX AMBULANCE ASSOCIATION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH A REYNOLDS (TREASURER)
(860) 767-1730
Entity
Organization
Contact information
Practice address
149 DENNISON ROAD, CENTERBROOK, CT 06409
(860) 767-1730
(860) 767-7677
Mailing address
PO BOX 233, IVORYTON, CT 06442-0233
(860) 767-1730
(860) 767-7677
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
C050B1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004010617
—
CT
Enumeration date
05/27/2005
Last updated
09/16/2011
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