Anesthetics of Brockton, PC
Organization Active NPI Certified Registered Nurse Anesthetist · Brockton, MA
NPI 1790715910 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1790715910
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- ANESTHETICS OF BROCKTON, PC
- Practice address
- 680 Centre St
Anesthetics of Brockton, PC
Brockton, MA 02302-3308 - Phone
- (508) 941-7000
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Fathalla M Mashali, MD
- Title
- President
- Phone
- (401) 490-2130
Practitioners 1
-
Fathalla Mashali, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
680 Centre St
Anesthetics of Brockton, PC
Brockton, MA 02302-3308
Mailing address
42 Hemingway Dr
Riverside, RI 02915-2224
Phone (401) 490-2130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9750720 | Medicaid | MA |
Other providers in Brockton, MA
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- Susan Andrea
- Thomas Andrea
- India Andrews
- Abigail Andrus
- Anew Life LLC
- Radhika Angara
- Angelic Home Care Services LLC
- Jennfier Kassandra Angrand
- Lila L Annaloro
All providers in Brockton, MA · Certified Registered Nurse Anesthetist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.