Provider Demographics
NPI:1043087786
Name:INTERVENTIONAL PAIN SPECIALISTS OF MASSACHUSETTS PLLC
Entity Type:Organization
Organization Name:INTERVENTIONAL PAIN SPECIALISTS OF MASSACHUSETTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:LOMONACO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-510-0505
Mailing Address - Street 1:690 BAY RD
Mailing Address - Street 2:
Mailing Address - City:S HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-1012
Mailing Address - Country:US
Mailing Address - Phone:215-510-0505
Mailing Address - Fax:
Practice Address - Street 1:900 CUMMINGS CTR STE 221U
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6183
Practice Address - Country:US
Practice Address - Phone:351-400-6272
Practice Address - Fax:351-354-0070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty