Organization
MVP ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE NOVIS M.D. (MANAGING PARTNER)
(781) 278-6524
Entity
Organization
Contact information
Practice address
800 WASHINGTON ST, ANESTHESIA DEPARTMENT, NORWOOD, MA 02062-3487
(781) 278-6524
(781) 762-1750
Mailing address
PO BOX 845044, BOSTON, MA 02284-5044
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9770968
—
MA
01
—
C12667
RAILROAD MEDICARE
—
Enumeration date
05/22/2006
Last updated
11/08/2017
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