Organization
TOWN OF SCOTLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SYME (CHIEF)
(860) 450-1525
Entity
Organization
Contact information
Practice address
ROUTE 14, SCOTLAND, CT 06264
(860) 450-1525
Mailing address
PO BOX 503, EAST BERLIN, CT 06023-0503
(860) 828-2002
(860) 828-2005
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242088
—
CT
01
—
710C123A2CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
CV2066
HEALTHNET
—
Enumeration date
02/10/2006
Last updated
06/20/2008
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