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Individual

ALAN RICHARD ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-9771
(508) 764-2499
Mailing address
189 DENNISON HILL RD, SOUTHBRIDGE, MA 01550-3813
(508) 764-2965

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
137238
MA

Other

Enumeration date
07/17/2006
Last updated
11/03/2011
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