Organization
ANESTHESIA SPECIALISTS OF WARREN, LLC
Active
Organization
ANESTHESIA SPECIALISTS OF WARREN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DEQUEVEDO MD (AUTHORIZED OFFICIAL)
(610) 954-5810
Entity
Organization
Contact information
Practice address
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1690
(610) 954-5810
Mailing address
PO BOX 327, SOUDERTON, PA 18964-0327
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/31/2017
Last updated
08/27/2024
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