Broadway Anesthesia Providers, Llc

NPI 1093046179 - Anesthesiology - 207L00000X

NPI Details
NPI 1093046179
Enumeration Date 01/29/2010
Last Updated 01/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LEON LEON
Position PRESIDENT
Phone (908) 994-5204
Fax (908) 994-5061
Practice Location
680 BROADWAY
PATERSON NJ, 07514-1422, US
Phone (908) 994-5204
Fax (908) 994-5061
Business Location
804 SCOTT NIXON MEMORIAL DR
AUGUSTA GA, 30907-2464, US
Phone (800) 394-4445
Fax (706) 650-1034
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Broadway Anesthesia Providers, Llc NPI is 1093046179, taxonomy code is 207L00000X Broadway Anesthesia Providers, Llc physically located at 680 Broadway, Paterson NJ, 07514-1422. NPI Number 1033115704 has the healthcare provider type.

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1093046179 NPI number is provided on an as is basis without warranty of any kind. 1093046179 is maintained by the National Plan & Provider Enumeration System. The contents of Broadway Anesthesia Providers, Llc are for informational purposes only.