Organization
ANESTHESIA HEALTHCARE LLC
Active
Organization
ANESTHESIA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE C WINE MD (PRESIDENT)
(732) 548-3200
Entity
Organization
Contact information
Practice address
1150 AMBOY AVE, EDISON, NJ 08837
(732) 548-3200
Mailing address
PO BOX 120223, STATEN ISLAND, NY 10312-0223
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06527400
NJ LICENSE
NJ
Enumeration date
05/23/2018
Last updated
05/23/2018
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