Healthcare Provider Details

I. General information

NPI: 1861091290
Provider Name (Legal Business Name): PENNSYLVANIA ANESTHESIA COALITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2020
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 PACIFIC AVE
SINKING SPRING PA
19608-9789
US

IV. Provider business mailing address

41 PACIFIC AVE
SINKING SPRING PA
19608-9789
US

V. Phone/Fax

Practice location:
  • Phone: 215-692-2842
  • Fax:
Mailing address:
  • Phone: 215-692-2842
  • 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: MR. NICHOLAS LAMBROS
Title or Position: CEO
Credential: CRNA
Phone: 610-763-7722