Provider Demographics
NPI:1467905927
Name:NEUROSURGICAL ANESTHESIA CONSULTING
Entity Type:Organization
Organization Name:NEUROSURGICAL ANESTHESIA CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLLMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-416-7866
Mailing Address - Street 1:5245 UPPER MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-5706
Mailing Address - Country:US
Mailing Address - Phone:215-794-6918
Mailing Address - Fax:
Practice Address - Street 1:5245 UPPER MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-5706
Practice Address - Country:US
Practice Address - Phone:215-794-6918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty