Organization
MOBILE ANESTHESIA SERVICE CONCEPTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY J. DEMARCO DO (PRESIDENT)
(267) 226-0050
Entity
Organization
Contact information
Practice address
9525 FRANKFORD AVENUE, PHILADELPHIA, PA 19114
(215) 333-9696
(215) 333-8514
Mailing address
84 WOODHILL ROAD, NEWTOWN, PA 18940
(267) 226-0050
(215) 504-8334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS007111L
PA
207L00000X
Anesthesiology Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01414076
—
PA
01
—
0661247000
KEYSTONE
PA
01
—
2641124000
AMERIHEALTH PPO
PA
01
—
49665
BLUE SHIELD PPO
PA
Enumeration date
09/21/2006
Last updated
08/22/2020
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