Organization
PENN VALLEY ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E HAWK CRNA (CEO/MEMBER)
(856) 451-3552
Entity
Organization
Contact information
Practice address
1000 WHITE HORSE RD STE 612, VOORHEES, NJ 08043-4412
(856) 845-1355
(856) 358-8053
Mailing address
1000 WHITE HORSE RD STE 612, VOORHEES, NJ 08043-4412
(856) 451-3552
(856) 358-8053
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
—
1014588880001
—
PA
Enumeration date
12/28/2005
Last updated
11/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us