Provider Demographics
NPI:1043475940
Name:MCCARTY ANESTHESIOLOGY, LLC
Entity Type:Organization
Organization Name:MCCARTY ANESTHESIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-913-3363
Mailing Address - Street 1:4 SOLSTICE WAY
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-3140
Mailing Address - Country:US
Mailing Address - Phone:617-913-3363
Mailing Address - Fax:617-945-2314
Practice Address - Street 1:4 SOLSTICE WAY
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-3140
Practice Address - Country:US
Practice Address - Phone:617-913-3363
Practice Address - Fax:617-945-2314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN2191520A1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDentist AnesthesiologistGroup - Single Specialty