Organization
RIK ANESTHESIA ASSOCIATES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEIMOURAZ V VASSILIDZE M.D., PH.D., DS.C (ANESTHESIOLOGIST/ MEMBER)
(732) 850-0132
Entity
Organization
Contact information
Practice address
20 SHERWOOD DR, WATCHUNG, NJ 07069-6136
(908) 668-4664
(908) 668-1411
Mailing address
282 SOUTH AVE, FANWOOD, NJ 07023-1372
(732) 850-0132
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25MA06904200
NJ
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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