# BAYSTATE INTERVENTIONAL PAIN PHYSICIANS

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

## Provider details

- **NPI number:** 1972193720
- **Authorized official:** DR. SHERIF ALGENDY MD (MD)
- **Authorized official phone:** (508) 436-2555

## Contact information

- **Practice address:** 22 PLEASANT ST \# 2N, WEST BRIDGEWATER, MA 02379-1506
- **Practice address phone:** (508) 436-2555
- **Mailing address:** 22 PLEASANT ST \# 2N, WEST BRIDGEWATER, MA 02379-1506
- **Mailing address phone:** (508) 436-2555

## Taxonomy

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

## Other

- **Enumeration date:** 01/25/2021
- **Last updated:** 01/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1245293349 | — | MA |