Organization
NORTHEAST REGIONAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KREEL MD (CEO/OWNER)
(570) 970-1030
Entity
Organization
Contact information
Practice address
11 GALLAGHER DR, PLAINS, PA 18705-1146
(570) 970-1030
(570) 270-0577
Mailing address
11 GALLAGHER DR, PLAINS, PA 18705-1146
(570) 970-1030
(570) 270-0577
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659618
BLUE SHIELD
PA
01
—
604765100
DEPT OF LABOR
PA
Enumeration date
07/28/2005
Last updated
07/21/2022
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