Organization
VISTA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SMITH (OWNER)
(908) 653-9399
Entity
Organization
Contact information
Practice address
25 COMMERCE DR STE 250, CRANFORD, NJ 07016-3621
(908) 653-9399
Mailing address
PO BOX 4307, UPPER MARLBORO, MD 20775-0307
(908) 653-9399
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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