Organization
BEL-PARK ANESTHESIA ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A. DEASCENTIS MBA (EXECUTIVE DIRECTOR)
(330) 286-5330
Entity
Organization
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 286-5330
(330) 286-5396
Mailing address
PO BOX 460, CANFIELD, OH 44406-0460
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024921
ANTHEM BSBS
OH
05
—
0577479
—
OH
01
—
C31452
MEDICARE RAILROAD
OH
Enumeration date
05/27/2006
Last updated
06/22/2020
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