Organization
GCG ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TECSON (MD)
(718) 987-3338
Entity
Organization
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3548
(718) 987-3338
Mailing address
PO BOX 6836, ITHACA, NY 14851-6836
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA0742260
NJ
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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