Healthcare Provider Details

I. General information

NPI: 1669409561
Provider Name (Legal Business Name): ANESTHESIOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DUDLEY ST C/O WOMEN & INFANTS HOSPITAL
PROVIDENCE RI
02905-2401
US

IV. Provider business mailing address

PO BOX 603314
PROVIDENCE RI
02906
US

V. Phone/Fax

Practice location:
  • Phone: 401-274-8110
  • Fax: 401-861-5220
Mailing address:
  • Phone: 401-274-8110
  • Fax: 401-861-5220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: KUE CHOI
Title or Position: PRESIDENT ANESTHESIOLOGY INC
Credential:
Phone: 401-274-8110