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General NPI Number Information
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NPI Number | 1477652279
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Entity Type | Organization
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Legal Business Name | MOBILE ANESTHESIA SERVICE CONCEPTS, LLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9525 FRANKFORD AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19114
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Country | US
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Telephone | 215-333-9696
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Fax | 215-333-8514
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Provider Business Mailing Address
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Address Line | 84 WOODHILL ROAD
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City | NEWTOWN
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State | PA
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Zip | 18940
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Country | US
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Telephone | 267-226-0050
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Fax | 215-504-8334
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY J. DEMARCO
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Credential | DO
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Telephone | 267-226-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS007111L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | NJ
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