Organization
TRI COUNTY ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY M MERGAMAN M.D. (CEO)
(215) 773-9514
Entity
Organization
Contact information
Practice address
3501 MASONS MILL RD, SUITE 501, HUNTINGDON VALLEY, PA 19006-3517
(215) 830-0530
(215) 830-0542
Mailing address
3501 MASONS MILL RD, SUITE 501, HUNTINGDON VALLEY, PA 19006-3517
(215) 830-0530
(215) 830-0542
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001732197
—
PA
Enumeration date
05/03/2006
Last updated
03/08/2012
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