Organization
AMBULATORY ANESTHESIA SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET CHAMPINO (OFFICE MANAGER)
(201) 635-1003
Entity
Organization
Contact information
Practice address
1825 RTE 23, WAYNE, NJ 07470-7510
(973) 633-1484
Mailing address
PO BOX 1593, SECAUCUS, NJ 07096-1593
(201) 635-1003
(201) 635-1332
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7391803
—
NJ
Enumeration date
09/13/2005
Last updated
08/22/2020
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