Organization
NARRAGANSETT BAY ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D MCIVOR (COO)
(781) 407-7713
Entity
Organization
Contact information
Practice address
440 SWANSEA MALL DR, SWANSEA, MA 02777-4114
(508) 324-1171
Mailing address
PO BOX 3072, BOSTON, MA 02241-3072
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9738461
—
MA
Enumeration date
05/12/2006
Last updated
07/21/2022
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