Organization
MONTCLAIR ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP LUTZ M.D. (TREASURER VP)
(973) 429-6250
Entity
Organization
Contact information
Practice address
1 BAY AVE, ANESTHESIA DEPARTMENT, MONTCLAIR, NJ 07042-4837
(973) 429-6930
(973) 364-1757
Mailing address
PO BOX 35088, NEWARK, NJ 07193-5088
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6723004
—
NJ
Enumeration date
05/23/2006
Last updated
12/04/2007
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