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Organization

MORRIS ANESTHESIA GROUP, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL S. YOUNG DO (AUTHORIZED OFFICIAL/OWNER)
(973) 335-1440
Entity
Organization

Contact information

Practice address
495 JACK MARTIN BLVD, BRICK, NJ 08724-7778
(732) 836-7778
Mailing address
PO BOX 26960, NEW YORK, NY 10087-6960
(201) 804-2800
(201) 804-8883

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
240515
MEDICARE
NJ
Enumeration date
01/14/2015
Last updated
01/14/2015
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