Organization
ADVANCED ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MUSCIO MD (PRESIDENT)
(732) 747-7077
Entity
Organization
Contact information
Practice address
475 ROUTE 70 STE 203, LAKEWOOD, NJ 08701-5897
(732) 886-1234
Mailing address
PO BOX 297, MANASQUAN, NJ 08736-0297
(732) 899-6156
(732) 899-5167
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0600282213
NJ
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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