Organization
CAMILLUS ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB THOMAS MD (OWNER)
(315) 449-0513
Entity
Organization
Contact information
Practice address
5700 W GENESEE ST STE 11, CAMILLUS, NY 13031-3205
(315) 701-9378
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
(315) 362-5179
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
03/24/2025
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