Healthcare Provider Details

I. General information

NPI: 1952386153
Provider Name (Legal Business Name): CATALDO AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 WASHINGTON ST
SOMERVILLE MA
02143-4432
US

IV. Provider business mailing address

PO BOX 435
SOMERVILLE MA
02143-0006
US

V. Phone/Fax

Practice location:
  • Phone: 617-625-0126
  • Fax: 617-625-0941
Mailing address:
  • Phone: 617-625-0126
  • Fax: 617-625-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3674
License Number StateMA

VIII. Authorized Official

Name: MRS. DIANA M CATALDO
Title or Position: OWNER TREASURER
Credential:
Phone: 617-625-0126