Provider Demographics
NPI:1396230538
Name:ADVANCED ANESTHESIOLOGY AND PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:ADVANCED ANESTHESIOLOGY AND PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:BENTLEY
Authorized Official - Suffix:IV
Authorized Official - Credentials:DO
Authorized Official - Phone:908-788-6180
Mailing Address - Street 1:6 MINNEAKONING RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5729
Mailing Address - Country:US
Mailing Address - Phone:908-237-0403
Mailing Address - Fax:908-237-9095
Practice Address - Street 1:2100 WESCOTT DR
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-788-6180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No163WP0000XNursing Service ProvidersRegistered NursePain ManagementGroup - Single Specialty