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Organization
SOVEREIGN ANESTHESIA
Active
Organization
SOVEREIGN ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STARKE MD (OWNER)
(908) 653-9399
Entity
Organization
Contact information
Practice address
360 COURT ST, BROOKLYN, NY 11231-4353
(718) 422-5023
Mailing address
330 WYTHE AVE, APT 5J, BROOKLYN, NY 11249-4152
(917) 692-7660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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