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Organization

GUARDIAN AMBULANCE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL KELLEY (PRESIDENT)
(978) 686-1199
Entity
Organization

Contact information

Practice address
37 MARSTON ST, LAWRENCE, MA 01841-2312
(800) 927-1315
(978) 887-1176
Mailing address
37 MARSTON ST, LAWRENCE, MA 01841-2312
(800) 928-1315
(978) 887-1176

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3984
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009001
NEIGHBORHOOD HEALTH PLAN
MA
01
095359
BLUE CROSS PROVIDER NUMBE
MA
05
1714708
MA
Enumeration date
01/26/2007
Last updated
05/12/2008
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