BRANDON D BLACK

STOUGHTON, MA
NPI1740509355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  2263659)
Enumeration Date2010-05-21
Last Update Date2015-02-13
Business Address
Mr. BRANDON D BLACK CRNA
255 PLAIN DRIVE C/O MA ANESTHESIA CORP.
STOUGHTON, MA 02072
Phone number: 617-523-7900
Mailing Address
Mr. BRANDON D BLACK CRNA
PO BOX 372 MASSACHUSETTS ANESTHESIA CORP.
STOUGHTON, MA 02072
Phone number: 646-415-3838
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