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NPI Code Detail

MEDICARE: KINGS ANESTHESIA

MEDICARE: KINGS ANESTHESIA
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
1207L00000XAnesthesiology Physician25MA09073500NJ

General Provider Information

NPI Number : 1770006306
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGS ANESTHESIA
Provider Business Mailing Address
First Line : 359 WEBSTER AVE UNIT 2
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07307-1009
Country : US
Telephone Number : 917-270-1655
Fax Number :
Provider Business Practice Location Address
First Line : 727 JORALEMON ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-1455
Country : US
Telephone Number : 973-450-1600
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : EMMANUEL RODRIGUEZ
Credential : MD
Telephone Number : 917-270-1655
Provider Enumeration Date : 07/25/2017
Last Update Date : 11/01/2017

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Directions to “KINGS ANESTHESIA ” Practice Location

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