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Individual

ADISAK JESDANUN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 MAY ST, MAY STREET ANESTHESIA, EDISON, NJ 08861
(732) 826-4177
(732) 607-1160
Mailing address
PO BOX 387, FORDS, NJ 08863-0387
(732) 826-4177
(732) 607-1160

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA26298
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2370506
NJ
Enumeration date
04/28/2006
Last updated
07/08/2007
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