Old Lyme South End Volunteer Ambulance
NPI #1437149994 in Old Lyme, Connecticut
Provider Information
- NPI Number
- 1437149994
- Entity Type
- Organization
- Organization Name
- Old Lyme South End Volunteer Ambulance
- Primary Specialty
- Ambulance
- Enumeration Date
- Oct 26, 2005
- Last Updated
- Mar 13, 2008
Practice Location
- Address
- 22 CROSS LN
- City
- Old Lyme
- State
- Connecticut
- ZIP Code
- 06371-2115
- Phone
- (860) 434-0089
Authorized Official
- Name
- MS. MARY T GENTILE
- Title
- AUTHORIZED AGENT
- Phone
- (860) 257-9201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
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