Organization
PENN-OHIO ASSOCIATES IN ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK G. KURZ M.D. (PRESIDENT)
(330) 559-1002
Entity
Organization
Contact information
Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7310
(724) 983-2797
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022302180001
—
PA
01
—
2077504
HIGHMARK BLUE SHIELD
PA
05
—
2926918
—
OH
01
—
614321800
US DEPARTMENT OF LABOR
—
01
—
7281868
CIGNA
—
01
—
PENDING
MEDICARE PTAN
OH
Enumeration date
09/30/2008
Last updated
05/07/2015
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