Healthcare Provider Details

I. General information

NPI: 1538190764
Provider Name (Legal Business Name): JERSEY SHORE ANESTHESIOLOGY ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 STATE ROUTE 33
NEPTUNE NJ
07753-4859
US

IV. Provider business mailing address

PO BOX 307
NEPTUNE NJ
07754-0307
US

V. Phone/Fax

Practice location:
  • Phone: 732-897-0200
  • Fax: 732-897-0263
Mailing address:
  • Phone: 732-897-0200
  • Fax: 732-897-0263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. PATRICIA M CARTAGENA
Title or Position: OFFICE MANAGER
Credential:
Phone: 732-897-0200