Organization
INNOVATIVE AMBULATORY ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MUSCIO M.D. (PRESIDENT)
(732) 660-1999
Entity
Organization
Contact information
Practice address
3613 ROUTE 33, NEPTUNE, NJ 07753
(732) 660-1999
(732) 660-1998
Mailing address
3613 ROUTE 33, NEPTUNE, NJ 07753
(732) 660-1999
(732) 660-1998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0600282213
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600282213
CORPORATE CERTIFICATE
NJ
Enumeration date
12/12/2006
Last updated
08/22/2020
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