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1093704363
INTREPID LANE ANESTHESIA GROUP PLLC
SYRACUSE, NY
NPI
1093704363
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Entity Type
Organization
Authorized Contact
DAVID CAMPANILE
President
315-498-6200
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2005-10-19
Last Update Date
2007-08-09
Business Address
INTREPID LANE ANESTHESIA GROUP PLLC
190 INTREPID LN
SYRACUSE, NY 13205-2545
Phone number: 315-498-6200
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Mailing Address
INTREPID LANE ANESTHESIA GROUP PLLC
PO BOX 2005
EAST SYRACUSE, NY 13057-4505
Phone number: 315-449-0513
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