Organization
MILFORD ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELLEN DESANTIS (PRACTICE COORDINATOR)
(508) 422-2055
Entity
Organization
Contact information
Practice address
113 WATER ST, SUITE 213, MILFORD, MA 01757
(508) 422-2055
(508) 478-4315
Mailing address
113 WATER ST, SUITE 213, MILFORD, MA 01757
(508) 422-2055
(508) 478-4315
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9722700
—
MA
Enumeration date
10/30/2006
Last updated
02/26/2013
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