Organization
ASTRAM ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO CRUZ MIGUEL M.D. (PRESIDENT)
(201) 956-1480
Entity
Organization
Contact information
Practice address
100 W SADDLE RIVER RD, SADDLE RIVER, NJ 07458-3020
(201) 956-1480
(201) 962-8731
Mailing address
100 W SADDLE RIVER RD, SADDLE RIVER, NJ 07458-3020
(201) 956-1480
(201) 962-8731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA03147000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731707
—
NJ
Enumeration date
01/19/2012
Last updated
01/19/2012
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