Individual
JOSEPH D PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 830-2113
Mailing address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 830-2113
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102563
MA
Other
Enumeration date
06/29/2006
Last updated
11/01/2007
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