Provider Demographics
NPI:1508288747
Name:HC ANESTHESIA SERVICES PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HC ANESTHESIA SERVICES PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-894-5413
Mailing Address - Street 1:33 PARK VIEW AVENUE
Mailing Address - Street 2:SUITE 1105
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-8306
Mailing Address - Country:US
Mailing Address - Phone:888-894-5413
Mailing Address - Fax:646-304-1681
Practice Address - Street 1:201 MONTGOMERY STREET
Practice Address - Street 2:SUITE 263
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-5057
Practice Address - Country:US
Practice Address - Phone:888-894-5143
Practice Address - Fax:646-304-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07555600207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty