# MONOCACY ANESTHESIA COMPANY LLC

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

## Provider details

- **NPI number:** 1104243039
- **Authorized official:** SAMUEL G. CARUTHERS M.D. (OWNER)
- **Authorized official phone:** (240) 675-0350

## Contact information

- **Practice address:** 80 MILL ST, NEWTON, NJ 07860-1411
- **Practice address phone:** (973) 579-1660
- **Mailing address:** PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
- **Mailing address phone:** (631) 264-2035
- **Mailing address fax:** (631) 264-1418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MA07863200 | NJ | Yes |

## Other

- **Enumeration date:** 03/28/2014
- **Last updated:** 04/21/2014