Organization
ANESTHETICS OF LOWELL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATHALLA M MASHALI MD (PRESIDENT)
(401) 490-2130
Entity
Organization
Contact information
Practice address
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC, LOWELL, MA 01854-2134
(978) 454-0941
Mailing address
160 DEDHAM ST, DOVER, MA 02030-2225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9734911
—
MA
Enumeration date
05/25/2006
Last updated
08/22/2020
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