Atlas Anesthesia Group LLC
Anesthesiology in Edgewater, NJ. Organization (NPI-2).
NPI number1982163176
StatusActive
Last updated in NPPESOct 12, 2023
Details
- NPI
- 1982163176
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlas Anesthesia Group LLC
- Organization subpart
- No
- Enumeration date
- Mar 18, 2019
- Certification date
- Dec 17, 2020
- Last updated
- Oct 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
23 Annett AveEdgewater, NJ 07020-1530
Phone 201-342-1210 · Fax 201-342-1259
Mailing address
23 Annett AveEdgewater, NJ 07020-1530
Phone 201-342-1210
Authorized official
Jignyasa Desai
Authorized Representative
2013421205
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