# SOMERSET ANESTHESIA INCORPORATED

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

## Provider details

- **NPI number:** 1679831408
- **Authorized official:** MR. RONALD M PARK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (814) 443-5651

## Contact information

- **Practice address:** 225 S CENTER AVE, SOMERSET, PA 15501-2033
- **Practice address phone:** (814) 443-5000
- **Mailing address:** 225 S CENTER AVE, SOMERSET, PA 15501-2033
- **Mailing address phone:** (814) 443-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 04/30/2012