Organization
THE SHRINERS' HOSPITAL FOR CHILDREN
Active
Other names
The Shriners' Hospital for Children Professional Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT AND CHAIRMAN OF THE BOARD)
(813) 281-0300
Entity
Organization
Contact information
Practice address
51 BLOSSOM ST, BOSTON, MA 02114-2601
(617) 722-3000
(617) 523-1684
Mailing address
PO BOX 8500 LOCKBOX #7642, PHILADELPHIA, PA 19178-0001
(813) 281-0300
(813) 281-0943
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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