Organization
IVS ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO O D'AGOSTINO MD (PRESIDENT)
(781) 254-0334
Entity
Organization
Contact information
Practice address
349 N MAIN ST, ANDOVER, MA 01810-2687
(978) 475-0959
(978) 475-1769
Mailing address
181 WELLS AVE STE 302, NEWTON, MA 02459-3344
(781) 972-7136
(781) 972-7166
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080230A
—
MA
Enumeration date
06/10/2008
Last updated
01/03/2023
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