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Organization

CHESHIRE ANESTHESIA ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MARTY D.O. (MANAGING PARTNER)
(603) 354-5454
Entity
Organization

Contact information

Practice address
580 COURT ST, ANESTHESIA DEPARTMENT, KEENE, NH 03431-1718
(603) 354-5454
(603) 354-5428
Mailing address
PO BOX 845614, BOSTON, MA 02284-5614
(800) 720-1664
(207) 753-2020

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LP2900X
Pain Medicine (Anesthesiology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81050496
NH
01
CK1569
RAILROAD MEDICARE
Enumeration date
05/23/2006
Last updated
02/07/2012
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