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General NPI Number Information
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NPI Number | 1720978018
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Entity Type | Organization
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Legal Business Name | PREMIER ANESTHESIA GROUP PC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 105 MORRIS AVE FL 1
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1327
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Country | US
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Telephone | 732-952-5533
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Fax | 732-707-4732
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Provider Business Mailing Address
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Address Line | 1001 CLIFTON AVE STE 2A
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City | CLIFTON
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State | NJ
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Zip | 07013-3586
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Country | US
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Telephone | 732-952-5533
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Fax | 732-707-4732
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMIT POONIA
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Credential | MD
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Telephone | 732-952-5533
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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 |
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License Number State |
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