Organization
TOWN OF STRATFORD, CONNECTICUT
Active
Other names
Stratford Emergency Medical Service
Organization subpart
No
Provider details
NPI number
Authorized official
JAY WAHLBERG (FINANCE DIRECTOR)
(203) 385-4040
Entity
Organization
Contact information
Practice address
2712 MAIN ST, STRATFORD, CT 06615-5816
(203) 385-4060
(203) 385-4156
Mailing address
PO BOX 417697, BOSTON, MA 02241-7697
(203) 385-4060
(203) 385-4156
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
C138P1
CT
3416L0300X
Land Ambulance
Primary
C138P1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004169480
—
CT
01
—
P00078413
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
08/09/2018
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