Organization
BEVERLY ANESTHESIA ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE E REYNOLDS (OFFICE MANAGER)
(978) 304-8690
Entity
Organization
Contact information
Practice address
480 MAPLE ST, SUITE C233A, DANVERS, MA 01923-4065
(978) 304-8690
(978) 304-8697
Mailing address
480 MAPLE ST, SUITE C233A, DANVERS, MA 01923-4065
(978) 304-8690
(978) 304-8697
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701227
TUFTS HEALTH PLANS
MA
05
—
9701613
—
MA
01
—
M11757
BLUE SHIELD
MA
Enumeration date
08/26/2005
Last updated
08/04/2020
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