Organization
ANESTHESIA ASSOCIATES OF RICHMOND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY O'HARE (PRACTICE ADMINISTRATOR)
(804) 288-4453
Entity
Organization
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
Mailing address
PO BOX 17978, RICHMOND, VA 23226-7978
(804) 288-4453
(804) 288-1621
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C13061
RAILROAD MEDICARE PIN #2
VA
01
—
CI4798
RAILROAD MEDICARE PIN #1
VA
01
—
DB4887
RAILROAD MEDICARE PIN #3
VA
Enumeration date
06/17/2006
Last updated
12/12/2011
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