PAUL J BANVILLE

BEVERLY, MA
NPI1265421689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  RN137552)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  129748)
Enumeration Date2005-10-18
Last Update Date2024-01-16
Business Address
PAUL J BANVILLE CRNA
85 HERRICK ST
BEVERLY, MA 01915-1790
Phone number: 978-816-3700
Mailing Address
PAUL J BANVILLE CRNA
75 LINDALL ST
DANVERS, MA 01923-2121
Phone number: 978-646-7088