Organization
TRENTON ANESTHESIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAQUIN J CARTILLO (PE)
80039444445
Entity
Organization
Contact information
Practice address
416 BELLEVUE AVE, STE 104, TRENTON, NJ 08618-4513
(609) 396-4700
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3345602
—
NJ
01
—
CB4182
RAILROAD MEDICARE
NJ
Enumeration date
08/03/2006
Last updated
02/21/2008
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