Organization
RIVERSIDE ANESTHESIA ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN C KEYSER MD (PRESIDENT)
(717) 545-5256
Entity
Organization
Contact information
Practice address
1 RUTHERFORD ROAD, SUITE 101, HARRISBURG, PA 17109
(717) 545-5256
(717) 545-5259
Mailing address
1 RUTHERFORD ROAD, SUITE 101, HARRISBURG, PA 17109
(717) 545-5256
(717) 545-5259
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010985840019
—
PA
Enumeration date
10/28/2005
Last updated
07/21/2022
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