Healthcare Provider Details

I. General information

NPI: 1679752281
Provider Name (Legal Business Name): ANESTHESIOLOGY SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 SCRANTONO CARBONDALE HIGHWAY
EYNON PA
18403
US

IV. Provider business mailing address

PO BOX 390
SCRANTON PA
18501
US

V. Phone/Fax

Practice location:
  • Phone: 570-876-5900
  • Fax: 570-342-9802
Mailing address:
  • Phone: 570-346-7797
  • Fax: 570-342-9802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: MICHAEL KLINE
Title or Position: HEAD OF GROUP
Credential: MD
Phone: 510-346-7797