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NPI Code Detail

MEDICARE: LOWELL ANESTHESIOLOGY SERVICE, INC.

MEDICARE: LOWELL ANESTHESIOLOGY SERVICE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4CA3406OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1600165OTHERTUFT
2M11362OTHERMABCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114927282
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOWELL ANESTHESIOLOGY SERVICE, INC.
Provider Business Mailing Address
First Line : 33 BARTLETT ST STE 203
Second Line :
City : LOWELL
State : MA
Zip : 01852-1317
Country : US
Telephone Number : 978-689-4601
Fax Number : 978-689-3096
Provider Business Practice Location Address
First Line : 295 VARNUM AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-2134
Country : US
Telephone Number : 978-689-4601
Fax Number : 978-689-3096
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER MICHAEL AIUDI
Credential : MD, PHARMD, MBA
Telephone Number : 978-689-4601
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/24/2025

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01854-2134
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Directions to “LOWELL ANESTHESIOLOGY SERVICE, INC. ” Practice Location

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