Organization
HAWTHORN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FINLEY DO (PRESIDENT)
(201) 693-6953
Entity
Organization
Contact information
Practice address
104 LINCOLN AVE, HAWTHORNE, NJ 07506-1436
(201) 342-1205
Mailing address
110 ROCHELLE AVE, ROCHELLE PARK, NJ 07662-4329
(201) 693-6953
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB7591000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB07591000
076130
NJ
01
—
BF8528082
DO8394300
NJ
Enumeration date
08/14/2018
Last updated
08/14/2018
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