Organization
SPECIALTY SURGERY ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L AMOROSO MD (PRESIDENT)
(732) 531-7246
Entity
Organization
Contact information
Practice address
74 BRICK BLVD, BRICK PAVILLION BLDG 3, BRICK, NJ 08723-7984
(732) 262-0700
(732) 262-0400
Mailing address
215 MONMOUTH RD, OAKHURST, NJ 07755-1540
(732) 531-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA04142300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058308
—
NJ
Enumeration date
07/14/2009
Last updated
07/23/2010
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