Provider Demographics
NPI:1649583493
Name:MANALAPAN ANESTHESIA ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MANALAPAN ANESTHESIA ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-380-1525
Mailing Address - Street 1:160 AVENUE AT THE CMN
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4802
Mailing Address - Country:US
Mailing Address - Phone:732-380-1525
Mailing Address - Fax:
Practice Address - Street 1:160 AVENUE AT THE CMN
Practice Address - Street 2:SUITE 1
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4802
Practice Address - Country:US
Practice Address - Phone:732-380-1525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty