Organization
COMMUNITY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY S STERN M.D. (CEO)
(508) 588-6700
Entity
Organization
Contact information
Practice address
189 QUINCY ST, BROCKTON, MA 02302-2926
(508) 588-6700
(508) 584-3010
Mailing address
189 QUINCY ST, BROCKTON, MA 02302-2926
(508) 588-6700
(508) 584-3010
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/14/2010
Last updated
07/01/2010
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