Healthcare Provider Details

I. General information

NPI: 1043498686
Provider Name (Legal Business Name): METROPOLITAN ANESTHESIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2008
Last Update Date: 12/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 LEBANON ST
MELROSE MA
02176-3225
US

IV. Provider business mailing address

690 CANTON ST SUITE 325
WESTWOOD MA
02090-2321
US

V. Phone/Fax

Practice location:
  • Phone: 781-979-3000
  • Fax:
Mailing address:
  • Phone: 781-407-7713
  • Fax: 781-407-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MAGDY M BISHAY
Title or Position: PRESIDENT
Credential: MD
Phone: 781-979-3000