Organization
INTEGRATED ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R BLADEK (CHAIRMAN OF ANESTHESIA TREASURER)
(203) 929-7353
Entity
Organization
Contact information
Practice address
2 CORPORATE DRIVE 9TH FLOOR, SUITE 955, SHELTON, CT 06484-7623
(203) 929-7353
(203) 929-0756
Mailing address
2 CORPORATE DRIVE 9TH FLOOR, SUITE 955, SHELTON, CT 06484-7623
(203) 929-7353
(203) 929-0756
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004081725
—
CT
Enumeration date
06/11/2006
Last updated
04/01/2023
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