Organization
ANESTHETICS OF NANTUCKET, 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
57 PROSPECT ST, ANESTHETICS OF NANTUCKET, PC, NANTUCKET, MA 02554-2799
(508) 825-8100
Mailing address
160 DEDHAM ST, DOVER, MA 02030-2225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9764330
—
MA
Enumeration date
07/30/2006
Last updated
09/11/2025
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