| NPI | 1861445728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D MCIVOR CEO 781-407-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2021-07-21 |