# ANESTHESIA PHYSICIANS OF BRATTLEBORO PLLC

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

## Provider details

- **NPI number:** 1366683716
- **Authorized official:** GREGORY PRAH M.D. (PRESIDENT)
- **Authorized official phone:** (802) 257-8220

## Contact information

- **Practice address:** 17 BELMONT AVE, BRATTLEBORO, VT 05301-7601
- **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:** 03/16/2009
- **Last updated:** 03/16/2009