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Organization

PENN ANESTHESIA SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GURPREET BHALLA JR. MD (PRESIDENT)
(914) 666-8866
Entity
Organization

Contact information

Practice address
400 HIGHLAND AVE, LEWISTOWN HOSPITAL, LEWISTOWN, PA 17044-1167
(717) 248-5411
Mailing address
118 N BEDFORD RD, SUITE 200, MOUNT KISCO, NY 10549-2553
(914) 666-8866
(914) 666-6777

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007298600004
PA
Enumeration date
05/03/2006
Last updated
07/13/2009
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