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PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA NPI 1902852015


NPI Information

NPI: 1902852015
Provider Name: PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA

Other Name: PROFESSIONAL SERVICE FUND OF DEBORAH ANESTHESIA

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
200 TRENTON RD
BROWNS MILLS, NJ
ZIP 08015
Phone: (609) 893-1200
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PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA is a specialist in Browns Mills, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA NPI is 1902852015. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Professional Service Fund Of Deborah Anesthesia.

The provider's business location address is:

200 TRENTON RD
BROWNS MILLS, NJ
ZIP 08015-705
Phone: (609) 893-1200
Fax: (609) 735-0175

The provider's authorized official is Gail Caton .
The authorized official title is Credentialing and has the following contact phone number (609) 893-1200.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 3/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001978MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
23253708MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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