Northeast Anesthesia Group, LLC

NPI #1356625404 in North Bergen, New Jersey

Provider Information

NPI Number: 1356625404
Entity Type: Organization
Organization Name: Northeast Anesthesia Group, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 7, 2011
Last Updated: Oct 7, 2011

Practice Location

Address: 9226 KENNEDY BLVD
Address 2: UNIT A
City: North Bergen
State: New Jersey
ZIP Code: 07047-5312
Phone: (201) 339-6971

Authorized Official

Name: MR. GEORGE JOHN BUSSANICH
Title: PRESIDENT
Phone: (201) 313-4650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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