MEDICARE: ARNOLD JAY KLUGMAN AEMT

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	146M00000X	Intermediate Emergency Medical Technician	29725	ME

General Provider Information

NPI Number	:	1962364448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARNOLD JAY KLUGMAN AEMT

Provider Business Mailing Address
First Line	:	366 TUTTLE RD
Second Line	:
City	:	CUMBERLAND
State	:	ME
Zip	:	04021-3627
Country	:	US
Telephone Number	:	207-829-5421
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 BRADBURY WAY
Second Line	:
City	:	CUMBERLAND
State	:	ME
Zip	:	04021-3661
Country	:	US
Telephone Number	:	207-829-5421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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