Healthcare Provider Details

I. General information

NPI: 1376577213
Provider Name (Legal Business Name): ANESTHESIA CONSULTANTS OF ESSEX PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 RIVER DR
ELMWOOD PARK NJ
07407-1317
US

IV. Provider business mailing address

PO BOX 1849
LEWISTON ME
04241-1849
US

V. Phone/Fax

Practice location:
  • Phone: 201-703-2900
  • Fax:
Mailing address:
  • Phone: 207-784-2554
  • Fax: 207-777-1439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE E RABINOWITZ
Title or Position: OWNER, PRESIDENT
Credential: MD
Phone: 800-738-1659