Organization
PROFESSIONAL ANESTHESIA SERVICES OF NORTH AMERICA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH THOMAS D AMICO CRNA (OWNER)
(610) 428-1544
Entity
Organization
Contact information
Practice address
3780 HECKTOWN RD, EASTON, PA 18045-2355
(610) 333-8888
Mailing address
PO BOX 65008, BALTIMORE, MD 21264-5008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397968
ANESTHESIOLOGY
PA
Enumeration date
02/22/2023
Last updated
02/22/2023
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