Provider Demographics
NPI:1568131779
Name:OLD TOWN ANESTHESIOLOGY, PLC
Entity Type:Organization
Organization Name:OLD TOWN ANESTHESIOLOGY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:NEWCITY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-560-3720
Mailing Address - Street 1:211 E GRATTAN ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3208
Mailing Address - Country:US
Mailing Address - Phone:888-709-3118
Mailing Address - Fax:
Practice Address - Street 1:4165 QUARLES CT
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-3576
Practice Address - Country:US
Practice Address - Phone:540-560-3720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty