Organization
JEFFERSON ANESTHESIOLOGIST SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB HAWTHORNE (PRESIDENT)
(315) 785-8509
Entity
Organization
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4066
(315) 785-4313
(315) 779-5114
Mailing address
PO BOX 2001, EAST SYRACUSE, NY 13057-4501
(315) 449-0513
(315) 362-5120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01140587
—
NY
Enumeration date
05/16/2006
Last updated
11/20/2025
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