Healthcare Provider Details
I. General information
NPI: 1477543338
Provider Name (Legal Business Name): MILLENNIUM ANESTHESIA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2005
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1699 WASHINGTON RD STE 307
PITTSBURGH PA
15228-1629
US
IV. Provider business mailing address
52 WATERFORD PIKE
BROOKVILLE PA
15825-2518
US
V. Phone/Fax
- Phone: 412-831-3744
- Fax: 412-831-5663
- Phone: 412-831-3744
- Fax: 412-831-5663
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROL
R
SCHINDLER
Title or Position: CRNA
Credential: CRNA
Phone: 412-831-3744