Organization
PREMIER ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANEKA GLOVER (PROVIDER ENROLLMENT COORDINATOR)
(404) 941-1241
Entity
Organization
Contact information
Practice address
2701 DEKALB PIKE, ANESTHESIA DEPARTMENT, MERCY HOSPITAL, NORRISTOWN, PA 19401
(610) 278-2150
Mailing address
2506 LONG MEADOW RD, LANSDALE, PA 19446-6086
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD072843L
PA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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