Organization
NANTUCKET ANESTHESIA ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE FRANCIS WILBUR CRNA (PRESIDENT)
(401) 826-1901
Entity
Organization
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(774) 563-1876
Mailing address
2000 PHENIX AVE, CRANSTON, RI 02921-1259
(401) 826-1901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
199070
MA
Other
Enumeration date
02/20/2010
Last updated
02/20/2010
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