Organization
PROFESSIONAL SERVICE FUND OF DEBORAH- ANESTHESIA
Active
Parent organization
PROFESSIONAL SERVICE FUND OF DEBORAH
Other names
Professional Service Fund of Deborah Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL SERVICE FUND OF DEBORAH
Authorized official
GAIL CATON (CREDENTIALING)
(609) 893-1200
Entity
Organization
Contact information
Practice address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-1200
(609) 735-0175
Mailing address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-1200
(609) 735-0175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3253708
—
NJ
Enumeration date
05/26/2006
Last updated
03/26/2009
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