Organization
ANESTHESIA SOLUTIONS OF MASSACHUSETTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL R TAKVORIAN MD (PRESIDENT)
(413) 329-4658
Entity
Organization
Contact information
Practice address
700 ATTUCKS LN, HYANNIS, MA 02601-1811
(508) 775-7751
(508) 775-7752
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TUFTS HEALTH PLAN
765169
MA
Enumeration date
05/22/2006
Last updated
04/29/2008
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