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Organization
BRATTTLEBORO ANESTHESIA ASSOCIATES PC
Active
Organization
BRATTTLEBORO ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY N PRAH MD (TREASURER)
(802) 257-8220
Entity
Organization
Contact information
Practice address
17 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 257-8220
Mailing address
PO BOX 910, GREENFIELD, MA 01302-0910
(413) 772-8500
(413) 772-8900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30210515
—
NH
01
—
8000803
LADIES FIRST
VT
01
—
BRAT00039826
BC/VT
VT
05
—
OVN1959
—
VT
Enumeration date
06/18/2006
Last updated
02/14/2008
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