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Organization

MILLENNIUM ANESTHESIA CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN M. MORRIS MD (PRESIDENT)
(973) 926-7143
Entity
Organization

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7143
(073) 926-2699
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7143
(073) 926-2699

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03737600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3087701
NJ
Enumeration date
03/09/2007
Last updated
07/12/2010
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