Organization
PENN ANESTHESIA SERVICES, PC-CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURPREET BHALLA MD (PRESIDENT)
(914) 666-8866
Entity
Organization
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN HOSPITAL, LEWISTOWN, PA 17044-1167
(717) 248-5411
Mailing address
43 KENSICO DR, 2ND FLOOR, MOUNT KISCO, NY 10549-1009
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01732624
—
PA
05
—
1007298600009
—
PA
Enumeration date
06/30/2006
Last updated
04/30/2008
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