Healthcare Provider Details
I. General information
NPI: 1013312412
Provider Name (Legal Business Name): GLOBAL ANESTHESIA SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2014
Last Update Date: 10/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 STEEPLE CHASE DR
PRINCE FREDERICK MD
20678-4053
US
IV. Provider business mailing address
PO BOX 1237
DUNKIRK MD
20754-1237
US
V. Phone/Fax
- Phone: 908-653-9399
- Fax: 908-653-9305
- Phone: 908-653-9399
- Fax: 908-653-9305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TUDOR
FRANCU
Title or Position: OWNER
Credential: MD
Phone: 908-653-9399