MEDICARE: ANGELS AMBULANCE INC.

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
1	3416L0300X	Land Ambulance	3065	MA

General Provider Information

NPI Number	:	1861495178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS AMBULANCE INC.

Provider Business Mailing Address
First Line	:	536 WASHINGTON ST
Second Line	:
City	:	ABINGTON
State	:	MA
Zip	:	02351-2424
Country	:	US
Telephone Number	:	781-871-3310
Fax Number	:	781-371-3930

Provider Business Practice Location Address
First Line	:	59 TOSCA DR
Second Line	:
City	:	STOUGHTON
State	:	MA
Zip	:	02072-1501
Country	:	US
Telephone Number	:	781-871-3310
Fax Number	:	781-371-3930

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	DR. MAZEN ENEYNI
Credential	:
Telephone Number	:	781-871-3310

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/22/2020

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Directions to “ANGELS AMBULANCE INC. ” Practice Location

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