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Organization

NEW ENGLAND PAIN ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FATHALLA MASHALI M.D. (PRESIDENT)
(401) 490-2130
Entity
Organization

Contact information

Practice address
10 CONVERSE PL, 4TH FLOOR, WINCHESTER, MA 01890-2713
(781) 729-0500
(781) 729-0581
Mailing address
42 HEMINGWAY DR, RIVERSIDE, RI 02915-2224
(401) 490-2130
(401) 435-2483

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9751921
MA
01
M18990
BCBS
MA
Enumeration date
09/25/2008
Last updated
09/25/2008
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