Organization
BROADWAY ANESTHESIA PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON PIRAK MD (PRESIDENT)
(908) 994-5204
Entity
Organization
Contact information
Practice address
680 BROADWAY, PATERSON, NJ 07514-1422
(908) 994-5204
(908) 994-5061
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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