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
Update your record
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