Organization
HAMMONTON ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK A DECLEMENT M.D. (PRESIDENT)
(609) 561-6700
Entity
Organization
Contact information
Practice address
600 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2014
(609) 561-6700
Mailing address
PO BOX 558, HAMMONTON, NJ 08037-0558
(609) 561-6700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073954
—
NJ
Enumeration date
06/12/2006
Last updated
08/22/2020
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