Organization
NARRAGANSETT BAY ANESTHESIA, LLC
Active
Organization
NARRAGANSETT BAY ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCIVOR (CEO)
(781) 407-7715
Entity
Organization
Contact information
Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Mailing address
PO BOX 3072, BOSTON, MA 02241-3072
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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