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Professional Service Fund Of Deborah- Anesthesia

Specialist in Browns Mills, NJ. Organization (NPI-2).

NPI number1902852015
StatusActive
Last updated in NPPESMar 26, 2009

Details

NPI
1902852015
Entity type
Organization (NPI-2)
Legal business name
Professional Service Fund Of Deborah- Anesthesia
Organization subpart
Yes
Enumeration date
May 26, 2006
Last updated
Mar 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Other names

  • Professional Service Fund Of Deborah Anesthesia (Other Name)

Practice location

200 Trenton Rd
Browns Mills, NJ 08015-1705

Phone 609-893-1200 · Fax 609-735-0175

Mailing address

200 Trenton Rd
Browns Mills, NJ 08015-1705

Phone 609-893-1200 · Fax 609-735-0175

Authorized official

Gail Caton
Credentialing
6098931200

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