Anesthetics Of Brockton, Pc
LBN: Anesthetics Of Brockton, Pc
Anesthetics Of Brockton, Pc is an health care organization with primary practice located at 680 Centre St Anesthetics Of Brockton, Pc, Brockton MA 02302-3308. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Anesthetics Of Brockton, Pc can be contacted via phone (508) 941-7000, or through Mashali, Fathalla M via phone (401) 490-2130.
Contact Information
Primary practice address
680 Centre St Anesthetics Of Brockton, Pc
Brockton MA 02302-3308
Phone: (508) 941-7000
Fax:
Website:
Authorized official contact:
Name: Mashali, Fathalla M Doctor of Medicine (MD)
Phone: (401) 490-2130
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1790715910 |
|---|---|
| LBN Legal business name | Anesthetics Of Brockton, Pc |
| DBA Doing business as | |
| Authorized official | Mashali, Fathalla M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790715910 | NPPES |
| Massachusetts | MEDICAID | 9750720 |
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