Provider Demographics
NPI:1518176395
Name:AMBULATORY ANESTHESIA ASSOCIATES, PC
Entity Type:Organization
Organization Name:AMBULATORY ANESTHESIA ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:PORITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-754-0700
Mailing Address - Street 1:205 GARDNER RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-4562
Mailing Address - Country:US
Mailing Address - Phone:617-739-3647
Mailing Address - Fax:617-739-3647
Practice Address - Street 1:300 GROVE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3908
Practice Address - Country:US
Practice Address - Phone:508-754-0700
Practice Address - Fax:508-831-9989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty