Provider Demographics
NPI:1861495178
Name:ANGELS AMBULANCE INC.
Entity Type:Organization
Organization Name:ANGELS AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENEYNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-871-3310
Mailing Address - Street 1:536 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-2424
Mailing Address - Country:US
Mailing Address - Phone:781-871-3310
Mailing Address - Fax:781-371-3930
Practice Address - Street 1:59 TOSCA DR
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-1501
Practice Address - Country:US
Practice Address - Phone:781-871-3310
Practice Address - Fax:781-371-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30653416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAM0201Medicare ID - Type Unspecified