Organization
NANTUCKET ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE FRANCIS WILBUR CRNA (PRESIDENT)
(401) 825-8258
Entity
Organization
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(401) 486-8258
(401) 826-0410
Mailing address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(401) 486-8258
(401) 826-0410
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
208679
MA
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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