Organization
FIRST STATE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAVI PITTS CRNA (CRNA-PARTNER)
(856) 417-1528
Entity
Organization
Contact information
Practice address
100 SCULL TER, DOVER, DE 19901-3577
(302) 346-3171
Mailing address
755 TRACY CIR, TOWNSEND, DE 19734-2409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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