Provider Demographics
NPI:1346575701
Name:OCEAN STATE ANESTHESIA PARTNERS, INC
Entity Type:Organization
Organization Name:OCEAN STATE ANESTHESIA PARTNERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:401-885-8153
Mailing Address - Street 1:43 CRESTON WAY
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-9407
Mailing Address - Country:US
Mailing Address - Phone:401-885-8153
Mailing Address - Fax:
Practice Address - Street 1:43 CRESTON WAY
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-9407
Practice Address - Country:US
Practice Address - Phone:401-885-8153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty