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
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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