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Organization

MASSACHUSETTS ANESTHESIA CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY DENEKAMP (MANAGER)
(781) 341-3966
Entity
Organization

Contact information

Practice address
255 PLAIN DR, STOUGHTON, MA 02072-3962
(781) 341-3966
Mailing address
255 PLAIN DR, STOUGHTON, MA 02072-3962
(781) 341-3966

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9785051
MA
01
M17166
MA BLUE SHIELD
MA
Enumeration date
01/26/2007
Last updated
08/22/2020
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