Organization
BLOOM ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOTSATOS (GENERAL PARTNER)
(917) 497-4182
Entity
Organization
Contact information
Practice address
393 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3741
(973) 746-1500
(973) 746-0937
Mailing address
393 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3741
(973) 746-1500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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