Healthcare Provider Details

I. General information

NPI: 1710020920
Provider Name (Legal Business Name): ANESTHESIA AND PAIN THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 STANLEY ST
FALL RIVER MA
02720-6009
US

IV. Provider business mailing address

272 STANLEY ST
FALL RIVER MA
02720-6009
US

V. Phone/Fax

Practice location:
  • Phone: 508-672-2290
  • Fax: 508-674-8419
Mailing address:
  • Phone: 508-672-2290
  • Fax: 508-674-8419

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. HENRY D CROWLEY
Title or Position: PRESIDENT
Credential: D.O.
Phone: 508-672-2290