Organization
MAPLE CITY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D REYNOLDS MD (PRESIDENT BOARD OF DIRECTORS)
(570) 253-6688
Entity
Organization
Contact information
Practice address
1860 FAIR AVE, SUITE B, HONESDALE, PA 18431-2108
(570) 253-6688
(570) 253-1811
Mailing address
1860 FAIR AVE, SUITE B, HONESDALE, PA 18431-2108
(570) 253-6688
(570) 253-1811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/17/2007
Last updated
12/28/2007
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