Organization
PROFESSIONAL ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANESH R BALU (PRESIDENT)
(302) 734-7246
Entity
Organization
Contact information
Practice address
240 BEISER BLVD, SUITE 201, DOVER, DE 19904-8208
(301) 734-7105
Mailing address
240 BEISER BLVD, SUITE 201, DOVER, DE 19904-8208
(301) 734-7105
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
02/05/2008
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