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Mary Smith
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NPI Number Detailed Information
Provider Information:
| Name: | Mary Smith |
| Gender: | F |
| Provider License Number If Given: | 030669-21 |
NPI Information:
| NPI: | 1356340913 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 7/15/2008 |
Provider Business Mailing Address:
| Address: | 60 EAST ST SUITE 1400 LOWE II ANESTHESIOLOGY SERVICE INC Methuen, MA 01844 |
| Phone Number: | 9786894601 |
| Fax Number: | 6038820556 |
Provider Business Practice Location Address:
| Address: | 60 EAST ST SUITE 1400 LOWE II ANESTHESIOLOGY SERVICE INC Methuen, MA 01844 |
| Phone Number: | 9786894601 |
| Fax Number: | 6038820556 |
Provider Taxonomy:
| Primary: | 367500000X |
| Secondary (if any): | 367500000X |
| State: | MA |
