Individual
IAN BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8210
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8210
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
077678-21
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2290811
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN229081
MA
Other
Enumeration date
06/07/2016
Last updated
02/25/2019
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