Northeast Ambulatory Anesthesia LLC
NPI #1194119982 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1194119982
- Entity Type
- Organization
- Organization Name
- Northeast Ambulatory Anesthesia LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Mar 19, 2015
- Last Updated
- Mar 19, 2015
Practice Location
- Address
- 4920 MAIN ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-1300
- Phone
- (203) 583-8906
Authorized Official
- Name
- DR. JEFFREY WAGNER, MD
- Title
- MANAGER
- Phone
- (203) 467-2474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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