Provider Demographics
NPI:1629077516
Name:PANINSKI, JANET C (CRNA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:C
Last Name:PANINSKI
Suffix:
Gender:F
Credentials:CRNA
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 372
Mailing Address - Street 2:MASSACHUSETTS ANESTHESIA CORP.
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-0372
Mailing Address - Country:US
Mailing Address - Phone:781-341-3966
Mailing Address - Fax:781-341-8269
Practice Address - Street 1:255 PLAIN DRIVE
Practice Address - Street 2:MASSACHUSETTS ANESTHESIA CORP.
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072
Practice Address - Country:US
Practice Address - Phone:781-341-3966
Practice Address - Fax:781-341-8269
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH036755-21367500000X
MA193337367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
R74644Medicare UPIN