Organization
PH ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY JENKINS MD (HEAD OF GROUP)
(570) 346-7797
Entity
Organization
Contact information
Practice address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 346-7797
(570) 342-9802
Mailing address
PO BOX 390, SCRANTON, PA 18501-0390
(570) 346-7797
(570) 342-9802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1424751
—
PA
Enumeration date
11/15/2005
Last updated
02/28/2008
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