Organization
GMS ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. KATHY V PODESTA (OFFICE MANAGER)
(201) 487-8557
Entity
Organization
Contact information
Practice address
100 PROSPECT AVE, #4F, HACKENSACK, NJ 07601-1910
(201) 487-8557
(201) 487-6414
Mailing address
PO BOX 1944, SOUTH HACKENSACK, NJ 07606-0544
(201) 487-8557
(201) 487-6414
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148504
—
NJ
05
—
5658004
—
NJ
05
—
8468206
—
NJ
Enumeration date
03/26/2007
Last updated
08/22/2020
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