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Organization
ANESTHESIOLOGY ASSOCIATES OF BENNINGTON
Active
Organization
ANESTHESIOLOGY ASSOCIATES OF BENNINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E. MICHAEL TARAZI MD (PRESIDENT)
(802) 447-5590
Entity
Organization
Contact information
Practice address
100 HOSPITAL DRIVE, ANESTHESIA DEPARTMENT, BENNINGTON, VT 05201-5004
(802) 447-5590
(802) 440-6099
Mailing address
PO BOX 252, LEWISTON, ME 04243-0252
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005739
—
VT
01
—
CD9169
RAILROAD MEDICARE
—
Enumeration date
05/22/2006
Last updated
01/05/2016
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