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NPI Code Detail

MEDICARE: 1ST CHOICE MD EMS

MEDICARE: 1ST CHOICE MD EMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance

General Provider Information

NPI Number : 1710741830
Entity Type Code : Organization
Provider Name (Legal Business Name) : 1ST CHOICE MD EMS
Provider Business Mailing Address
First Line : 36 RUSS ST FL 537
Second Line :
City : HARTFORD
State : CT
Zip : 06106-1520
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 36 RUSS ST FL 537
Second Line :
City : HARTFORD
State : CT
Zip : 06106-1520
Country : US
Telephone Number : 860-775-7589
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAKKARA BOGLE-ASSEGAI
Credential : MD
Telephone Number : 347-475-9525
Provider Enumeration Date : 02/08/2024
Last Update Date : 02/08/2024

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Directions to “1ST CHOICE MD EMS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.