Organization
PROFESSIONAL ANESTHESIA SERVICES OF EASTERN PENNSYLVANIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D'AMICO CRNA (OWNER)
(610) 428-1544
Entity
Organization
Contact information
Practice address
7918 MAIN ST, SUITE 204, FOGELSVILLE, PA 18051-1744
(610) 428-1544
(610) 395-9336
Mailing address
7918 MAIN ST, SUITE 204, FOGELSVILLE, PA 18051-1744
(610) 428-1544
(610) 395-9336
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001370187
HIGHMARK BS
—
01
—
CJ8874
TRAVELERS MEDICARE
PA
Enumeration date
01/31/2006
Last updated
02/16/2010
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