Organization
MOBILE ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK T KONITZER M.D. (OWNER)
(570) 889-5378
Entity
Organization
Contact information
Practice address
4200 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
(570) 644-6109
(570) 644-4363
Mailing address
PO BOX 237, RINGTOWN, PA 17967-0237
(570) 889-5378
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD418250
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD418250
PA
Other
Enumeration date
11/01/2010
Last updated
11/02/2010
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