MEDICARE: ROXBURY ANESTHESIA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1609926971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROXBURY ANESTHESIA, LLC

Provider Business Mailing Address
First Line	:	PO BOX 35
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15230-0035
Country	:	US
Telephone Number	:	412-937-5700
Fax Number	:	770-666-9078

Provider Business Practice Location Address
First Line	:	550 NEWARK AVE
Second Line	:	5TH FLOOR
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-0550
Country	:	US
Telephone Number	:	201-795-0205
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ATHANASIOS SCINAS
Credential	:	MD
Telephone Number	:	973-989-8464

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	06/08/2009

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