MEDICARE: NORTH AMERICAN PARTNERS IN ANESTHESIA MARYLAND 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	:	1679324446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH AMERICAN PARTNERS IN ANESTHESIA MARYLAND LLC

Provider Business Mailing Address
First Line	:	1305 WALT WHITMAN RD STE 300
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-4300
Country	:	US
Telephone Number	:	516-945-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8028 RITCHIE HWY STE 142
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-1069
Country	:	US
Telephone Number	:	410-766-1012
Fax Number	:

Authorized Official
Title or Position	:	TEAM LEAD
Name	:	SARAH BERNOCCO
Credential	:
Telephone Number	:	516-945-3163

Provider Enumeration Date	:	03/29/2024
Last Update Date	:	03/29/2024

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