Organization
ATLANTIC ANESTHESIA, PA
Active
Other names
Seacoast Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DALE ANDERSON M.D. (MANAGING PARTNER-REGIONAL DIRECTOR)
(703) 766-9737
Entity
Organization
Contact information
Practice address
7 MARSH BROOK DR, SUITE 10, SOMERSWORTH, NH 03878-6523
(315) 413-5229
(603) 953-0005
Mailing address
3998 FAIR RIDGE DR., SUITE 300, FAIRFAX, VA 22033-2921
(603) 249-7246
(603) 953-0005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80000007
—
NH
Enumeration date
09/21/2006
Last updated
11/06/2019
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