Organization
DELAWARE VALLEY ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W MCDOUGALL CRNA (CEO/MEMBER)
(856) 358-4520
Entity
Organization
Contact information
Practice address
217 MADISON AVE, LUMBERTON, NJ 08048-2901
(856) 358-4520
(856) 358-8053
Mailing address
PO BOX 874, ELMER, NJ 08318-0874
(856) 358-4520
(856) 358-8053
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041653
NJ
Other
Enumeration date
12/28/2005
Last updated
08/22/2020
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