Organization
JORDAN HOSPITAL ANESTHESIA ASSOCIATES, PC
Active
Organization
JORDAN HOSPITAL ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GANNON MD (PRESIDENT)
(508) 747-7246
Entity
Organization
Contact information
Practice address
68 N MAIN ST, CARVER, MA 02330-1128
(508) 747-7246
(508) 747-7256
Mailing address
68 N MAIN ST, CARVER, MA 02330-1128
(508) 747-7246
(508) 747-7256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MA
208VP0014X
Interventional Pain Medicine Physician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447203500
BLUE CROSS BLUE SHIELD
MA
05
—
9757031
—
MA
Enumeration date
05/18/2006
Last updated
04/24/2024
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