Organization
ENVISION ANESTHESIA SERVICES OF DELAWARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
18791 JOHN J WILLIAMS HWY, REHOBOTH BEACH, DE 19971-4401
(302) 645-2300
Mailing address
PO BOX 744471, ATLANTA, GA 30374-4471
(913) 242-6850
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/28/2017
Last updated
08/25/2019
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