# ANESTHESIOLOGY ASSOCIATES OF BENNINGTON

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

## Provider details

- **NPI number:** 1689628786
- **Authorized official:** E. MICHAEL TARAZI MD (PRESIDENT)
- **Authorized official phone:** (802) 447-5590

## Contact information

- **Practice address:** 100 HOSPITAL DRIVE, ANESTHESIA DEPARTMENT, BENNINGTON, VT 05201-5004
- **Practice address phone:** (802) 447-5590
- **Practice address fax:** (802) 440-6099
- **Mailing address:** PO BOX 252, LEWISTON, ME 04243-0252
- **Mailing address phone:** (800) 720-1664
- **Mailing address fax:** (207) 753-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 01/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005739 | — | VT |
| 01 | — | CD9169 | RAILROAD MEDICARE | — |