Healthcare Provider Details

I. General information

NPI: 1821865569
Provider Name (Legal Business Name): INTERVENTIONAL PAIN ASSOCIATES OF MASSACHUSETTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2023
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CUMMINGS CTR STE 221U
BEVERLY MA
01915-6183
US

IV. Provider business mailing address

690 BAY RD
S HAMILTON MA
01982-1012
US

V. Phone/Fax

Practice location:
  • Phone: 351-400-6272
  • Fax: 351-354-0070
Mailing address:
  • Phone: 215-510-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY P LOMONACO
Title or Position: OWNER
Credential: DO
Phone: 215-510-0505