| NPI | 1932175684 |
|---|---|
| Other Name | COASTAL MEDICAL ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | MARIANNE CAPUTO Provider Enrollment Supervisor 781-792-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2024-01-23 |