Provider Demographics
NPI:1215975511
Name:DUNNE, JOHN EARL (CRNA)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:EARL
Last Name:DUNNE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 SPRING STREET
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379
Mailing Address - Country:US
Mailing Address - Phone:508-588-4717
Mailing Address - Fax:781-326-2120
Practice Address - Street 1:333 ELM STREET
Practice Address - Street 2:CATARACT & LASER CENTER
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026
Practice Address - Country:US
Practice Address - Phone:781-326-3800
Practice Address - Fax:781-326-2120
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA110296367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NA22441OtherCRNA