Organization
NARRAGANSETT BAY ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSANNE ANDRADE (SR. NATIONAL ENROLLMENT MANAGER)
(972) 663-8523
Entity
Organization
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(781) 915-0214
(781) 407-7712
Mailing address
42 ORIENTAL ST, PROVIDENCE, RI 02908-3238
(774) 319-8001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9738461
—
MA
05
—
NB54268
—
RI
01
—
T100650862
MEDICARE PIN
NH
Enumeration date
05/19/2006
Last updated
04/07/2026
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