Organization
PARK ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEBOVITS M.D. (PRESIDENT)
(508) 236-7430
Entity
Organization
Contact information
Practice address
211 PARK ST, ANESTHESIA DEPARTMENT, ATTLEBORO, MA 02703-3143
(508) 236-7430
(508) 236-7446
Mailing address
PO BOX 845706, BOSTON, MA 02284-5706
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9762990
—
MA
01
—
DE4155
RAILROAD MEDICARE
—
Enumeration date
05/22/2006
Last updated
11/07/2007
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