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Organization

ANESTHESIA ASSOCIATES OF WESTERLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CURT W. GRAMLICH M.D. (AUTHORIZED OFFICIAL)
(401) 596-7477
Entity
Organization

Contact information

Practice address
25 WELLS ST, WESTERLY, RI 02891-2922
(401) 596-7477
Mailing address
PO BOX 2057, WESTERLY, RI 02891-0917
(401) 596-7477
(401) 596-0821

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist
RN25548
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003099547
MEDICAID
CT
05
AA00263
RI
Enumeration date
02/01/2006
Last updated
02/15/2019
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