Organization
SOUTHEAST ANESTHESIA ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER TREMLBAY (VP/ADMINISTRATOR)
(617) 506-2028
Entity
Organization
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 506-2027
(617) 474-3811
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9711341
—
MA
Enumeration date
09/14/2005
Last updated
04/06/2010
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