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Organization
ANESTHESIA ADVANTAGE PC
Active
Organization
ANESTHESIA ADVANTAGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G CARESTIA MD (MEDICAL DIRECTOR)
(267) 566-1914
Entity
Organization
Contact information
Practice address
319 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3812
(215) 860-4110
(267) 295-8208
Mailing address
12 NEWBURYPORT RD, UPPER HOLLAND, PA 19053-1556
(215) 860-4110
(267) 295-8208
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/14/2006
Last updated
08/15/2022
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