# TRANQUIL ANESTHESIA GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083100010
- **Authorized official:** KENNETH JOSOVITZ MD (PHYSICIAN)
- **Authorized official phone:** (703) 349-1856

## Contact information

- **Practice address:** 14010 SMOKETOWN RD STE 117, WOODBRIDGE, VA 22192
- **Practice address phone:** (703) 349-1856
- **Mailing address:** 14010 SMOKETOWN RD STE 120, WOODBRIDGE, VA 22192-4722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2018
- **Last updated:** 08/09/2018