Healthcare Provider Details

I. General information

NPI: 1861495178
Provider Name (Legal Business Name): ANGELS AMBULANCE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 TOSCA DR
STOUGHTON MA
02072-1501
US

IV. Provider business mailing address

536 WASHINGTON ST
ABINGTON MA
02351-2424
US

V. Phone/Fax

Practice location:
  • Phone: 781-871-3310
  • Fax: 781-371-3930
Mailing address:
  • Phone: 781-871-3310
  • Fax: 781-371-3930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3065
License Number StateMA

VIII. Authorized Official

Name: DR. MAZEN ENEYNI
Title or Position: CEO/PRESIDENT
Credential:
Phone: 781-871-3310