# PENN VALLEY ANESTHESIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Penn Valley Anesthesia Providers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497771380
- **Authorized official:** MARC D GELLMAN M.D. (OWNER)
- **Authorized official phone:** (856) 358-4520

## Contact information

- **Practice address:** 230 W WASHINGTON SQ, 4TH FLOOR, PHILADELPHIA, PA 19106-3500
- **Practice address phone:** (856) 358-4520
- **Practice address fax:** (856) 358-8053
- **Mailing address:** PO BOX 874, ELMER, NJ 08318-0874
- **Mailing address phone:** (856) 358-4520
- **Mailing address fax:** (856) 358-8053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD026023E | PA | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 08/22/2020
