Provider Demographics
NPI:1235712050
Name:AMERICAN AIRWAYS, LLC
Entity Type:Organization
Organization Name:AMERICAN AIRWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MORDECHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-236-0519
Mailing Address - Street 1:7 PLYMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3322
Mailing Address - Country:US
Mailing Address - Phone:732-236-0519
Mailing Address - Fax:
Practice Address - Street 1:758 ROUTE 18 NORTH
Practice Address - Street 2:SUITE 103
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-955-6648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty