Organization
GUARDIAN ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY DENEKAMP (PRACTICE MANAGER)
(781) 344-2325
Entity
Organization
Contact information
Practice address
907 SUMNER ST, M201, STOUGHTON, MA 02072-3374
(781) 344-2325
(781) 341-8544
Mailing address
907 SUMNER ST, M201, STOUGHTON, MA 02072-3374
(781) 344-2325
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602146
TUFTS
MA
05
—
9772839
—
MA
01
—
CA318643
RR MEDICARE
MA
01
—
M15924
BLUE SHIELD MA
MA
Enumeration date
01/19/2007
Last updated
08/22/2020
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