Individual
JONATHAN MAXWELL BABIARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2302541
MA
367500000X
Certified Registered Nurse Anesthetist
085689-23
NH
367500000X
Certified Registered Nurse Anesthetist
7577
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2302541
MA
Other
Enumeration date
04/18/2017
Last updated
03/06/2024
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