Organization
DREAMLAND ANESTHESIA LIMITED LIABILITY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDISH THAKUR M.D (AUTHORIZED REPRESENTATIVE)
(732) 829-6902
Entity
Organization
Contact information
Practice address
346 VALLEY RD, WATCHUNG, NJ 07069-6055
(732) 605-1237
(732) 605-1238
Mailing address
346 VALLEY RD, WATCHUNG, NJ 07069-6055
(732) 605-1237
(730) 605-1238
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA04131700
NJ
207R00000X
Internal Medicine Physician
Primary
MA41241
NJ
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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