# MOBILE ANESTHESIA, PC

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

## Provider details

- **NPI number:** 1699075135
- **Authorized official:** DR. PATRICK T KONITZER M.D. (OWNER)
- **Authorized official phone:** (570) 889-5378

## Contact information

- **Practice address:** 4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
- **Practice address phone:** (570) 644-6109
- **Practice address fax:** (570) 644-4363
- **Mailing address:** PO BOX 237, RINGTOWN, PA 17967-0237
- **Mailing address phone:** (570) 889-5378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD418250 | PA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD418250 | PA | — |

## Other

- **Enumeration date:** 11/01/2010
- **Last updated:** 11/02/2010