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Organization

BERGEN AMBULATORY ANESTHESIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC AVEZZANO (OFFICE MANAGER)
(201) 967-2455
Entity
Organization

Contact information

Practice address
466 OLD HOOK RD, SUITE 19, EMERSON, NJ 07630-1396
(201) 967-2455
(201) 634-9647
Mailing address
PO BOX 34546, NEWARK, NJ 07189-0001
(201) 967-2455
(201) 634-9647

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
NJ

Other

Enumeration date
10/23/2006
Last updated
08/22/2020
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