Organization
ANESTHETICS OF WORCESTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATHALLA M MASHALI MD (PRESIDENT)
(401) 490-2130
Entity
Organization
Contact information
Practice address
340 THOMPSON RD, ANESTHETICS OF WORCESTER, PC, WEBSTER, MA 01570-1509
(401) 490-2130
Mailing address
42 HEMINGWAY DR, RIVERSIDE, RI 02915-2224
(401) 490-2130
(401) 490-2141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9762281
—
MA
Enumeration date
05/19/2006
Last updated
11/03/2008
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