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NPI Code Detail

MEDICARE: LIBERTY ANESTHESIA ASSOCIATES, P. C.

MEDICARE: LIBERTY ANESTHESIA ASSOCIATES, P. C.
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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972509792
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBERTY ANESTHESIA ASSOCIATES, P. C.
Provider Business Mailing Address
First Line : PO BOX 8500-1776
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-0001
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 201 REECEVILLE RD
Second Line :
City : COATESVILLE
State : PA
Zip : 19320-1542
Country : US
Telephone Number : 215-949-5327
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JAY S FINEMAN
Credential : MD
Telephone Number : 215-291-3000
Provider Enumeration Date : 06/27/2005
Last Update Date : 06/12/2012

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