Organization
TOMS RIVER ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MALMBERG (AUTHORIZED OFFICIAL)
(732) 818-7575
Entity
Organization
Contact information
Practice address
409 MAIN ST, TOMS RIVER, NJ 08753-7441
(732) 818-7575
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
12/18/2007
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