Organization
NORTHEAST ANESTHESIA GROUP, LLC
Active
Organization
NORTHEAST ANESTHESIA GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JOHN BUSSANICH (PRESIDENT)
(201) 313-4650
Entity
Organization
Contact information
Practice address
9226 KENNEDY BLVD, UNIT A, NORTH BERGEN, NJ 07047-5312
(201) 339-6971
Mailing address
PO BOX 79, BAYONNE, NJ 07002
(201) 313-4650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06277300
NJ
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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