NPI | 1518442607 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN CASTELLUCCI Medical Director 888-337-3509 |
Organization Subpart ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-12-19 |