Healthcare Provider Details

I. General information

NPI: 1558662908
Provider Name (Legal Business Name): BMC ANESTHESIA PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 11/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 E 29TH ST
BAYONNE NJ
07002-4654
US

IV. Provider business mailing address

PO BOX 20503
NEWARK NJ
07101-5503
US

V. Phone/Fax

Practice location:
  • Phone: 201-858-6520
  • Fax: 201-858-4399
Mailing address:
  • Phone: 201-804-2800
  • Fax: 201-804-8883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: VINCENT FRANCOIS
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 201-858-6520