# KASICA PROFESSIONAL ANESTHESIA AND PAIN SERVICES, LLC

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

## Provider details

- **NPI number:** 1619246014
- **Authorized official:** PATRICIA KASICA DO (OWNDER)
- **Authorized official phone:** (609) 748-0505

## Contact information

- **Practice address:** 76 W JIM LEEDS RD, PARK CENTER, SUITE 501, GALLOWAY, NJ 08205-9411
- **Practice address phone:** (609) 748-0505
- **Practice address fax:** (609) 748-0515
- **Mailing address:** 76 W JIM LEEDS RD, PARK CENTER, SUITE 501, GALLOWAY, NJ 08205-9411
- **Mailing address phone:** (609) 748-0505
- **Mailing address fax:** (609) 748-0515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 25MB06313500 | NJ | — |
| 208VP0000X | Pain Medicine Physician | 25MB06313500 | NJ | Yes |

## Other

- **Enumeration date:** 12/14/2011
- **Last updated:** 02/06/2012