Provider Demographics
NPI:1366631996
Name:ALGOLOGY ANESTHESIA ASSOCIATES LLC
Entity Type:Organization
Organization Name:ALGOLOGY ANESTHESIA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEKON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-939-0800
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-0374
Mailing Address - Country:US
Mailing Address - Phone:201-939-0800
Mailing Address - Fax:201-939-2911
Practice Address - Street 1:85 ORIENT WAY
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2070
Practice Address - Country:US
Practice Address - Phone:201-939-0800
Practice Address - Fax:201-939-2911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherTIN