Organization · NPI-2
Premier Anesthesia Of Pennsylvania PC
Anesthesiology · Drexel Hill, PA
NPI number1831493865
StatusActive
Last updated in NPPESAug 24, 2021
Details
- NPI
- 1831493865
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Anesthesia Of Pennsylvania PC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2011
- Certification date
- Aug 24, 2021
- Last updated
- Aug 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 204E00000X | Oral & Maxillofacial Surgery | – | – | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | |
| 367H00000X | Anesthesiologist Assistant | – | – |
Practice location
501 N Lansdowne AveDrexel Hill, PA 19026-1114
Phone 678-690-7808 · Fax 404-941-1304
Mailing address
2655 Northwinds PkwyAlpharetta, GA 30009-2280
Phone 770-643-5501 · Fax 404-941-1304
Authorized official
Rosandra Hargrove
Delegated Official/Provider Cord.
6786907808
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