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Organization

WATERFORD AMBULANCE SERVICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NEIL WISEMAN (PRESIDENT)
(860) 389-2701
Entity
Organization

Contact information

Practice address
454 BOSTON POST RD, WATERFORD, CT 06385-1510
(860) 477-9301
Mailing address
454 BOSTON POST RD, WATERFORD, CT 06385-1510
(860) 477-9301

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004172897
CT
01
710C152A2CT01
BLUE CROSS/BLUE SHIELD
Enumeration date
02/09/2006
Last updated
05/02/2024
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