Organization
AZ ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA ZONSHAYN (MANAGER)
(215) 969-2331
Entity
Organization
Contact information
Practice address
12000 BUSTLETON AVE, SUITE 208, PHILADELPHIA, PA 19116-2151
(215) 969-2331
(215) 969-2334
Mailing address
12000 BUSTLETON AVE, SUITE 208, PHILADELPHIA, PA 19116-2151
(215) 969-2331
(215) 969-2334
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD054720L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015546500001
—
PA
Enumeration date
11/09/2006
Last updated
03/02/2011
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