Organization
SOUTHCOAST CARDIAC ANESTHESIA
Active
Organization
SOUTHCOAST CARDIAC ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY F THIESEN MD (PRESIDENT)
(508) 679-7558
Entity
Organization
Contact information
Practice address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-7558
(508) 679-7147
Mailing address
363 HIGHLAND AVE, FALL RIVER, MA 02720-3703
(508) 679-7558
(508) 679-7147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9711741
—
MA
Enumeration date
07/28/2005
Last updated
07/21/2022
Update your record
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