Provider Demographics
NPI:1124367743
Name:SOMERS ANESTHESIOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:SOMERS ANESTHESIOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRAKONICEKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-684-8424
Mailing Address - Street 1:99 EAST RIVER DR.
Mailing Address - Street 2:SOMERS ANESTHESIOLOGY ASSOCIATES
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-7301
Mailing Address - Country:US
Mailing Address - Phone:860-282-4133
Mailing Address - Fax:860-289-0742
Practice Address - Street 1:201 CHESTNUT HILL RD
Practice Address - Street 2:
Practice Address - City:STAFFORD SPRINGS
Practice Address - State:CT
Practice Address - Zip Code:06076-9925
Practice Address - Country:US
Practice Address - Phone:860-684-8424
Practice Address - Fax:860-684-8460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty