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Organization

LIFELINE AMBULANCE SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN JEROME CONNOR (PRESIDENT & CEO)
(781) 953-6870
Entity
Organization

Contact information

Practice address
11 STATE ST, WOBURN, MA 01801-2050
(781) 935-2220
(781) 935-0211
Mailing address
11 STATE ST, A, WOBURN, MA 01801-2050
(781) 953-6870
(781) 646-0020

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3100
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700197
MA
Enumeration date
05/12/2006
Last updated
06/23/2011
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