Organization
OBSTETRIC ANESTHESIA ASSOCIATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDEL RAHMAN SAYED BAKHATY MD (PRESIDENT)
(201) 217-6822
Entity
Organization
Contact information
Practice address
3200 KENNEDY BLVD, JERSEY CITY, NJ 07306-3416
(201) 217-6822
(201) 217-6899
Mailing address
PO BOX 3485, SECAUCUS, NJ 07094
(201) 217-6822
(201) 217-6899
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MA042237
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MA044763
NJ
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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