Healthcare Provider Details

I. General information

NPI: 1144720244
Provider Name (Legal Business Name): ALLIED ANESTHESIA ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2018
Last Update Date: 02/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 COLUMBIA TPKE STE 102B
FLORHAM PARK NJ
07932-2193
US

IV. Provider business mailing address

25 COMMERCE DR STE 250
CRANFORD NJ
07016-3621
US

V. Phone/Fax

Practice location:
  • Phone: 800-426-1699
  • Fax: 908-653-9305
Mailing address:
  • Phone: 908-653-9399
  • Fax: 908-653-9305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PRASHANT PATEL
Title or Position: OWNER
Credential: MD
Phone: 908-653-9399