# DREAMLAND ANESTHESIA

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

## Provider details

- **NPI number:** 1447670187
- **Authorized official:** LISA MILLER (BILLING MANAGER)
- **Authorized official phone:** (732) 317-8286

## Contact information

- **Practice address:** 59 WALNUT ST, EDISON, NJ 08817-3241
- **Practice address phone:** (732) 317-8286
- **Practice address fax:** (732) 572-9082
- **Mailing address:** 59 WALNUT ST, EDISON, NJ 08817-3241
- **Mailing address phone:** (732) 317-8286
- **Mailing address fax:** (732) 572-9082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | 25MA04131700 | NJ | Yes |

## Other

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