Individual
PAUL J BANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
75 LINDALL ST, DANVERS, MA 01923-2121
(978) 646-7088
(978) 777-1462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
129748
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN137552
MA
Other
Enumeration date
10/18/2005
Last updated
01/16/2024
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