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NPI Code Detail

MEDICARE: MINE HILL ANESTHESIA LLC

MEDICARE: MINE HILL ANESTHESIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianNJ

General Provider Information

NPI Number : 1902163314
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINE HILL ANESTHESIA LLC
Provider Business Mailing Address
First Line : 195 US 46 SUITE 202
Second Line :
City : MINE HILL
State : NJ
Zip : 07803
Country : US
Telephone Number : 973-989-5185
Fax Number : 973-328-4097
Provider Business Practice Location Address
First Line : 1 MOUNT PROSPECT AVE
Second Line : 2ND FLOOR
City : VERONA
State : NJ
Zip : 07044-2707
Country : US
Telephone Number : 973-433-7230
Fax Number : 973-433-7235
Authorized Official
Title or Position : BILLING ADMIN
Name : LORIE GETCHIUS
Credential :
Telephone Number : 973-989-5185
Provider Enumeration Date : 04/23/2012
Last Update Date : 12/07/2016

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Directions to “MINE HILL ANESTHESIA LLC ” Practice Location

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