Breakwater Anesthesia, Inc.
NPI #1356819791 in Beverly, Massachusetts
Provider Information
- NPI Number
- 1356819791
- Entity Type
- Organization
- Organization Name
- Breakwater Anesthesia, Inc.
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Nov 4, 2018
- Last Updated
- Jan 8, 2019
Practice Location
- Address
- 900 CUMMINGS CTR STE 117T
- City
- Beverly
- State
- Massachusetts
- ZIP Code
- 01915-6183
- Phone
- (617) 922-5655
Authorized Official
- Name
- JACOB BEVILACQUA, CRNA
- Title
- CO-OWNER
- Phone
- (617) 922-5655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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