Organization
MIDDLEBURY VOLUNTEER FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL PERROTTI (CHIEF)
(203) 577-4036
Entity
Organization
Contact information
Practice address
65 TUCKER HILL RD, MIDDLEBURY, CT 06762-2512
(203) 577-4036
Mailing address
269 MAIN ST, CROMWELL, CT 06416-2302
(800) 437-8347
(860) 638-1802
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004164521
—
CT
01
—
590010128
RAILROAD MEDICARE
—
01
—
710C018B2CT01
BLUE CROSS/BLUE SHIELD
—
01
—
CT8389
HEALTHNET
—
Enumeration date
09/19/2005
Last updated
09/09/2010
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