Organization
AMOSKEAG ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'SULLIVAN (EXECUTIVE DIRECTOR)
(603) 663-2315
Entity
Organization
Contact information
Practice address
1 ELLIOT WAY, SUITE 200, MANCHESTER, NH 03103-3502
(603) 663-2315
(603) 647-9180
Mailing address
1 ELLIOT WAY, SUITE 200, MANCHESTER, NH 03103-3502
(603) 663-2315
(603) 647-9180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30211198
—
NH
Enumeration date
04/28/2006
Last updated
03/08/2011
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