Healthcare Provider Details

I. General information

NPI: 1841667136
Provider Name (Legal Business Name): SAFE ANESTHESIA AND PAIN SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 08/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 KINDERKAMACK RD SUITE 100
ORADELL NJ
07649-1600
US

IV. Provider business mailing address

129 HOOVER DR
CRESSKILL NJ
07626-1717
US

V. Phone/Fax

Practice location:
  • Phone: 201-367-2273
  • Fax: 201-262-2273
Mailing address:
  • Phone: 201-313-6338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA03666000
License Number StateNJ

VIII. Authorized Official

Name: DR. GURCHARAN S. SIDHU
Title or Position: PRESIDENT
Credential: M.D
Phone: 201-313-6338