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Organization

MIDDLESEX HOSPITAL

Active
Other names
MIDDLESEX HOSPITAL AMBULANCE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VINCENT G CAPECE JR. (CEO)
(860) 358-6110
Entity
Organization

Contact information

Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6394
(860) 358-6748
Mailing address
195 ROUTE 80, KILLINGWORTH, CT 06419-1400
(860) 663-3634
(860) 663-3795

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
L083P1
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L083P1
LICENSE
CT
Enumeration date
03/06/2015
Last updated
03/06/2015
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