Healthcare Provider Details

I. General information

NPI: 1518217116
Provider Name (Legal Business Name): ANESTHESIA SERVICES OF RAHWAY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 STONE STREET
RAHWAY NJ
07065-2742
US

IV. Provider business mailing address

PO BOX 416510
BOSTON MA
02241-6510
US

V. Phone/Fax

Practice location:
  • Phone: 732-381-4200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: GILBERT L DROZDOW
Title or Position: PRESIDENT
Credential: MD
Phone: 954-838-2371