# PREMIER ANESTHESIA

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

## Provider details

- **NPI number:** 1891199659
- **Authorized official:** MS. SHANEKA GLOVER (PROVIDER ENROLLMENT COORDINATOR)
- **Authorized official phone:** (404) 941-1241

## Contact information

- **Practice address:** 2701 DEKALB PIKE, ANESTHESIA DEPARTMENT, MERCY HOSPITAL, NORRISTOWN, PA 19401
- **Practice address phone:** (610) 278-2150
- **Mailing address:** 2506 LONG MEADOW RD, LANSDALE, PA 19446-6086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD072843L | PA | Yes |

## Other

- **Enumeration date:** 10/22/2014
- **Last updated:** 10/22/2014