| NPI | 1790752707 | 
|---|---|
| Doing Business As | ANESTHESIA ASSOC OF FCCC | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER GREEN Credentialing Manager 215-728-2697 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology | 
| Enumeration Date | 2006-03-08 | 
| Last Update Date | 2011-11-15 |