| NPI Details | |
|---|---|
| NPI | 1790872935 |
| Enumeration Date | 10/09/2006 |
| Last Updated | 11/16/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | KENNETH A KENNETH |
| Position | MANAGING PARTNER |
| Phone | (201) 475-8940 |
| Fax | |
| Practice Location | |
|---|---|
| 28-06 BROADWAY FAIR LAWN NJ, 07410-3913, US |
|
| Phone | (201) 475-8940 |
| Fax | |
| Business Location | |
|---|---|
| 28-06 BROADWAY FAIR LAWN NJ, 07410-3913, US |
|
| Phone | (201) 475-8940 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207L00000X |
| License State | |
| License Number | |
| Remove 1790872935 NPI Number | |
According to our database, Fair Lawn Anesthesia Associates, Llc NPI is 1790872935, taxonomy code is 207L00000X Fair Lawn Anesthesia Associates, Llc physically located at 28-06 Broadway, Fair Lawn NJ, 07410-3913. NPI Number 1033115704 has the healthcare provider type.
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1790872935 NPI number is provided on an as is basis without warranty of any kind. 1790872935 is maintained by the National Plan & Provider Enumeration System. The contents of Fair Lawn Anesthesia Associates, Llc are for informational purposes only.
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