Organization
SUPERIOR ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BARYCHEWSKY (AUTHORIZED REPRESENTATIVE)
(215) 901-1990
Entity
Organization
Contact information
Practice address
ONE CORNERSTONE DRIVE, SUITE 100, LANGHORNE, PA 19047-1321
(215) 901-1990
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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