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Organization

ANESTHESIA SERVICES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD STERN M.D. (AUTHORIZED OFFICIAL)
(302) 709-4504
Entity
Organization

Contact information

Practice address
2 READS WAY, SUITE 201, NEW CASTLE, DE 19720-1607
(302) 709-4504
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000152102
DE
05
0016395300005
PA
05
5417007
NJ
Enumeration date
06/12/2006
Last updated
10/04/2007
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