Organization
CITY OF NEW HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-7080
Entity
Organization
Contact information
Practice address
200 ORANGE ST, NEW HAVEN, CT 06510-2016
(860) 257-7080
(860) 563-3403
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/24/2014
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