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AZ ANESTHESIA PC NPI 1356411060


NPI Information

NPI: 1356411060
Provider Name: AZ ANESTHESIA, PC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 39D1096073

Address:
12000 BUSTLETON AVE
SUITE 208
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 969-2331
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AZ ANESTHESIA, PC is a pain medicine anesthesiology in Philadelphia, PA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. AZ ANESTHESIA, PC NPI is 1356411060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12000 BUSTLETON AVE
SUITE 208
PHILADELPHIA, PA
ZIP 19116-151
Phone: (215) 969-2331
Fax: (215) 969-2334

The provider's authorized official is Julia Zonshayn .
The authorized official title is Manager and has the following contact phone number (215) 969-2331.

The CLIA number assigned to this NPI record is 39D1096073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 3/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineMD054720LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1087344MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
21015546500001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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