| NPI | 1972501740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J PENHALLURICK President 508-279-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-07-21 |