Healthcare Provider Details

I. General information

NPI: 1790773935
Provider Name (Legal Business Name): CAPE ANESTHESIA AND PAIN MANAGEMENT, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 STONE HARBOR BLVD
CAPE MAY COURT HOUSE NJ
08210-2138
US

IV. Provider business mailing address

PO BOX 593
CAPE MAY COURT HOUSE NJ
08210-0593
US

V. Phone/Fax

Practice location:
  • Phone: 609-463-2458
  • Fax:
Mailing address:
  • Phone: 609-463-2458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHOKKUMAR PATEL
Title or Position: PRESIDENT
Credential: MD
Phone: 609-463-2458