NPI | 1023054442 |
---|---|
Doing Business As | MARKET STREET ANESTHESIA ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ALLAN JACOBS President 315-265-1721 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-08-22 |