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Organization
PENN ANESTHESIA SERVICES, PC
Active
Organization
PENN ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURPREET BHALLA JR. MD (PRESIDENT)
(914) 666-8866
Entity
Organization
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN HOSPITAL, LEWISTOWN, PA 17044-1167
(717) 248-5411
Mailing address
118 N BEDFORD RD, SUITE 200, MOUNT KISCO, NY 10549-2553
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/03/2006
Last updated
07/13/2009
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