# BRATTTLEBORO ANESTHESIA ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164467676
- **Authorized official:** GREGORY N PRAH MD (TREASURER)
- **Authorized official phone:** (802) 257-8220

## Contact information

- **Practice address:** 17 BELMONT AVE, BRATTLEBORO, VT 05301-6613
- **Practice address phone:** (802) 257-8220
- **Mailing address:** PO BOX 910, GREENFIELD, MA 01302-0910
- **Mailing address phone:** (413) 772-8500
- **Mailing address fax:** (413) 772-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 02/14/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30210515 | — | NH |
| 01 | — | 8000803 | LADIES FIRST | VT |
| 01 | — | BRAT00039826 | BC/VT | VT |
| 05 | — | OVN1959 | — | VT |