Organization
TRI-STATE ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE M LINN MD (PHYSICIAN)
(302) 999-0200
Entity
Organization
Contact information
Practice address
2710 CENTERVILLE RD, SUITE 100, WILMINGTON, DE 19808-1644
(302) 999-0200
Mailing address
1032 FOREST LN, GLEN MILLS, PA 19342-9604
(302) 999-0200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C2-0006582
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037328
—
DE
01
—
2419397000
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/09/2007
Last updated
07/01/2008
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