Provider Demographics
NPI:1962364448
Name:KLUGMAN, ARNOLD JAY (AEMT)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:JAY
Last Name:KLUGMAN
Suffix:
Gender:M
Credentials:AEMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 TUTTLE RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04021-3627
Mailing Address - Country:US
Mailing Address - Phone:207-829-5421
Mailing Address - Fax:
Practice Address - Street 1:7 BRADBURY WAY
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:ME
Practice Address - Zip Code:04021-3661
Practice Address - Country:US
Practice Address - Phone:207-829-5421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME29725146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty