Anesthetics Of Brockton, Pc in Brockton - Nurse Anesthetist, Certified Registered

Anesthetics Of Brockton, Pc - NPI 1790715910

Anesthetics Of Brockton, Pc is a Nurse Anesthetist, Certified Registered in Brockton, Massachusetts. Anesthetics Of Brockton, Pc practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Anesthetics Of Brockton, Pc is 1790715910. The last update date is 2020-08-22.

Anesthetics Of Brockton, Pc's current location address is 680 Centre St, Brockton, Massachusetts. You can contact this provider via phone number 5089417000. The mailing address for Anesthetics Of Brockton, Pc is 680 Centre St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Anesthetics Of Brockton, Pc
Address 680 Centre St, Brockton, Massachusetts
Phone Number 5089417000
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mashali M Fathalla
Credentials MD
Telephone Number 4014902130

NPI Number Detail

NPI Number 1790715910
Provider Enumeration Date 2006-07-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 680 Centre St
City Brockton
State Massachusetts (MA)
Post Code 230233080
Phone Number 5089417000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9750720 MA --

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FAQs about Anesthetics Of Brockton, Pc

What is the unique provider identifier assigned to Anesthetics Of Brockton, Pc?

The Anesthetics Of Brockton, Pc has been issued the NPI (National Provider Identifier) 1790715910 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Anesthetics Of Brockton, Pc's facilities are geographically located?

The facilities of Anesthetics Of Brockton, Pc are physically situated at the following location: 680 Centre St, Brockton, MA, 230233080.

What is Anesthetics Of Brockton, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Anesthetics Of Brockton, Pc is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.

On what date did the Anesthetics Of Brockton, Pc receive the assignment of its 1790715910 from the Centers for Medicare & Medicaid Services?

The Anesthetics Of Brockton, Pc was issued its 1790715910 by the Centers for Medicare & Medicaid Services on 2006-07-04.

As of what date were the details pertaining to Anesthetics Of Brockton, Pc last refreshed?

The information related to the Anesthetics Of Brockton, Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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