Provider Demographics
NPI:1528008851
Name:ANESTICARE ANESTHESIA SERVICES
Entity Type:Organization
Organization Name:ANESTICARE ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:610-278-7455
Mailing Address - Street 1:123 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1382
Mailing Address - Country:US
Mailing Address - Phone:610-278-7455
Mailing Address - Fax:610-278-7457
Practice Address - Street 1:123 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1382
Practice Address - Country:US
Practice Address - Phone:610-278-7455
Practice Address - Fax:610-278-7457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038763E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA818532Medicare ID - Type UnspecifiedMEDICARE