Organization
BIG TREE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT GOSWAMI MD (PRESIDENT)
(646) 620-6415
Entity
Organization
Contact information
Practice address
516 HAMBURG TPKE, STE 2, WAYNE, NJ 07470-2062
(646) 620-6415
(949) 863-6532
Mailing address
PO BOX 1779, FORT LEE, NJ 07024-8279
(646) 620-6415
(949) 863-6532
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08519500
NJ
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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