Organization
MONOCACY ANESTHESIA COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL G. CARUTHERS M.D. (OWNER)
(240) 675-0350
Entity
Organization
Contact information
Practice address
80 MILL ST, NEWTON, NJ 07860-1411
(973) 579-1660
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA07863200
NJ
Other
Enumeration date
03/28/2014
Last updated
04/21/2014
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