MEDICARE: METROWEST ANESTHESIOLOGY, 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
1	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	605061	OTHER	MA	TUFTS HEALTH PLAN
2	5586023	OTHER	MA	AETNA
3	M16186	OTHER	MA	BLUE CROSS/SHIELD OF MA
4	2000005	OTHER	MA	UNITED HEALTHCARE
5	613824	OTHER	MA	HARVARD PILGRIM HEALTHCAR
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699763599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROWEST ANESTHESIOLOGY, INC.

Provider Business Mailing Address
First Line	:	400 UNION AVE
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-5889
Country	:	US
Telephone Number	:	508-875-1600
Fax Number	:	508-875-1297

Provider Business Practice Location Address
First Line	:	115 LINCOLN ST
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-6358
Country	:	US
Telephone Number	:	508-875-1600
Fax Number	:	508-875-1297

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MRS. DIANE GORZYNSKI
Credential	:
Telephone Number	:	508-875-1600

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	08/22/2020

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Directions to “METROWEST ANESTHESIOLOGY, INC. ” Practice Location

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