Organization
TRI STATE ANESTHESIA, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P. CLARKIN MD (PRESIDENT)
(845) 357-5775
Entity
Organization
Contact information
Practice address
133 N KINDERKAMACK RD, MONTVALE, NJ 07645
(845) 357-5775
(845) 357-5777
Mailing address
100 ROUTE 59 STE 111, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223834
MEDICARE
NJ
Enumeration date
02/26/2011
Last updated
08/28/2018
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