Organization
NEW BROOKE ANESTHESIOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIEVES C ANTONIO MD (SECRETARY)
(812) 945-2047
Entity
Organization
Contact information
Practice address
3018 BROOKHAVEN RD, NEW ALBANY, IN 47150-9439
(812) 945-2047
Mailing address
3018 BROOKHAVEN RD, NEW ALBANY, IN 47150-9439
(812) 945-2047
(812) 945-2047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100405570A
—
IN
Enumeration date
02/12/2007
Last updated
11/28/2012
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