Gardner Lake Volunteer Fire Company
NPI #1164410601 in Salem, Connecticut
Provider Information
- NPI Number
- 1164410601
- Entity Type
- Organization
- Organization Name
- Gardner Lake Volunteer Fire Company
- Primary Specialty
- Ambulance
- Enumeration Date
- Oct 10, 2005
- Last Updated
- Sep 23, 2008
Practice Location
- Address
- 429 OLD COLCHESTER RD
- City
- Salem
- State
- Connecticut
- ZIP Code
- 06420-3748
- Phone
- (860) 859-1743
Authorized Official
- Name
- MARY GENTILE
- Title
- AUTHORIZED AGENT
- Phone
- (800) 452-8191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
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