Organization
PALISADES ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J BUSSANICH (OWNER)
(201) 941-3939
Entity
Organization
Contact information
Practice address
9226 KENNEDY BLVD, UNIT A, NORTH BERGEN, NJ 07047-5312
(201) 339-6971
(201) 339-6972
Mailing address
PO BOX 79, BAYONNE, NJ 07002-0079
(201) 339-6971
(201) 339-6972
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06277300
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA07688700
NJ
Other
Enumeration date
07/09/2009
Last updated
10/04/2011
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