Organization
ANESTHESIA ASSOCIATES OF WILLIAMSPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM PASTORE MD (PRESIDENT)
(570) 322-7092
Entity
Organization
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 322-7092
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011610060007
—
PA
Enumeration date
05/03/2006
Last updated
11/08/2007
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