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Organization

TOWN OF BOLTON

Active
Other names
Bolton Volunteer Ambulance Squad
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARGARET J. DIAZ (DIRECTOR)
(978) 779-7801
Entity
Organization

Contact information

Practice address
15 WATTAQUADOCK HILL ROAD, BOLTON, MA 01740
(978) 779-7800
(978) 779-6079
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
05
1721135
MA
01
ZM0918
BCBS PROVIDER NUMBER
MA
Enumeration date
01/22/2007
Last updated
12/17/2012
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