Healthcare Provider Details

I. General information

NPI: 1871580290
Provider Name (Legal Business Name): BLUE MOUNTAIN ANESTHESIA ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 ALEXANDER SPRING ROAD
CARLISLE PA
17015
US

IV. Provider business mailing address

PO BOX 947
CHAMBERSBURG PA
17201-0947
US

V. Phone/Fax

Practice location:
  • Phone: 717-532-7860
  • Fax: 717-218-8702
Mailing address:
  • Phone: 717-532-7860
  • Fax: 717-218-8702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HOWARD ALSTER
Title or Position: PRESIDENT
Credential: MD
Phone: 717-532-7860