Provider Demographics
NPI:1114535713
Name:ANAESTHESIA ASSOCIATES OF ARIZONA, PLLC
Entity Type:Organization
Organization Name:ANAESTHESIA ASSOCIATES OF ARIZONA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSUMECI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-727-6288
Mailing Address - Street 1:98 WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM HEIGHTS
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1770
Mailing Address - Country:US
Mailing Address - Phone:781-727-6288
Mailing Address - Fax:
Practice Address - Street 1:9280 E THOMPSON PEAK PKWY UNIT 34
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4521
Practice Address - Country:US
Practice Address - Phone:781-727-6288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty