Northeastern Anesthesia Institute LLC
NPI #1356891717 in Clifton, New Jersey
Provider Information
- NPI Number
- 1356891717
- Entity Type
- Organization
- Organization Name
- Northeastern Anesthesia Institute LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2016
- Last Updated
- Oct 10, 2016
Practice Location
- Address
- 1373 BROAD ST
- City
- Clifton
- State
- New Jersey
- ZIP Code
- 07013-4200
- Phone
- (201) 342-1205
Authorized Official
- Name
- TOMISLAV PRVULOVIC, MD
- Title
- SOLE MEMBER
- Phone
- (201) 342-1205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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