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Organization
PROFESSIONAL ANESTHESIA SERVICES OF NORTH AMERICA P.C.
Active
Organization
PROFESSIONAL ANESTHESIA SERVICES OF NORTH AMERICA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH THOMAS D'AMICO CRNA (AUTHORIZED OFFICIAL)
(610) 366-9536
Entity
Organization
Contact information
Practice address
2310 HIGHLAND AVE, BETHLEHEM, PA 18020-8920
(610) 861-8080
Mailing address
PO BOX 65008, BALTIMORE, MD 21264-5008
(610) 366-9536
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/13/2015
Last updated
03/20/2018
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