Organization
PALISADE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LIAO (MANAGING MEMBER)
(973) 219-8658
Entity
Organization
Contact information
Practice address
2231 LEMOINE AVE, FORT LEE, NJ 07024-6115
(973) 219-8658
Mailing address
PO BOX 515, ROSELAND, NJ 07068-0515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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