Organization
OFFICE ANESTHESIA SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIBRAH JAMIL MD (PRESIDENT)
(917) 975-4163
Entity
Organization
Contact information
Practice address
120 N 11TH ST, NEWARK, NJ 07107-1118
(917) 975-4326
Mailing address
15747 ROSE AVE, FLUSHING, NY 11355-2327
(917) 975-4163
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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