Healthcare Provider Details
I. General information
NPI: 1063733566
Provider Name (Legal Business Name): MBS ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2010
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 WESCOTT DRIVE
FLEMINGTON NJ
08822
US
IV. Provider business mailing address
PO BOX 622
WYCKOFF NJ
07481-0622
US
V. Phone/Fax
- Phone: 908-783-8470
- Fax:
- Phone: 908-300-3700
- Fax: 201-847-0059
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
B
SILBER
Title or Position: PRESIDENT
Credential: MD
Phone: 908-783-8470