Organization
BOSTON ADVANCED ANESTHESIA, INC
Active
Other names
Boston Advanced Medicine, INC, Greater Boston Anesthesia Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN KOTWICKI (PRACTICE ADMINISTRATOR)
(781) 895-7903
Entity
Organization
Contact information
Practice address
281 WINTER ST FL 2, WALTHAM, MA 02451-8740
(781) 895-7900
Mailing address
281 WINTER ST FL 2, WALTHAM, MA 02451-8740
(781) 895-7900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M10270
PTAN
MA
Enumeration date
10/23/2006
Last updated
04/10/2024
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