| NPI | 1114257136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY S STERN CEO 508-588-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-07-01 |