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NORTHEASTERN ANESTHESIA INSTITUTE LLC NPI 1356891717


NPI Information

NPI: 1356891717
Provider Name: NORTHEASTERN ANESTHESIA INSTITUTE LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1373 BROAD ST
CLIFTON, NJ
ZIP 07013
Phone: (201) 342-1205
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NORTHEASTERN ANESTHESIA INSTITUTE LLC is a specialist in Clifton, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHEASTERN ANESTHESIA INSTITUTE LLC NPI is 1356891717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1373 BROAD ST
CLIFTON, NJ
ZIP 07013-200
Phone: (201) 342-1205
Fax: (201) 342-1259

The provider's authorized official is Tomislav Prvulovic .
The authorized official title is Sole Member and has the following contact phone number (201) 342-1205.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA06129800NEW JERSEYYes

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: 5/5/2024

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