Organization
ANESTAT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEESHA N MOHAMMED (DIRECTOR OF OPERATIONS)
(201) 340-2199
Entity
Organization
Contact information
Practice address
951 BROOK AVE STE 203, BRONX, NY 10451-4209
(855) 699-7246
Mailing address
185 KINGSLAND ST, NUTLEY, NJ 07110-1119
(973) 542-2739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
01/09/2023
Last updated
04/17/2023
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