Organization
LAUREL GROUP ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMAT KANSAGRA MD (INCORPORATOR)
(814) 534-9323
Entity
Organization
Contact information
Practice address
1086 FRANKLIN ST, SUITE M4000, JOHNSTOWN, PA 15905-4305
(814) 534-9102
Mailing address
1086 FRANKLIN ST, SUITE M4000, JOHNSTOWN, PA 15905-4305
(814) 534-9102
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD044818E
PA
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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