Organization
TOWN OF GROTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BOSSELAIT (FIRE CHIEF)
(978) 448-1137
Entity
Organization
Contact information
Practice address
99 PLEASANT ST, GROTON, MA 01450-1205
(978) 448-1137
(978) 448-1116
Mailing address
9 MAIN ST, SUITE 2K, SUTTON, MA 01590-1660
(508) 476-9740
(508) 476-9748
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014659
BCBS PROVIDER NUMBER
MA
05
—
1707744
—
MA
Enumeration date
06/03/2006
Last updated
02/28/2013
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