Provider Demographics
NPI:1730645516
Name:JW ANESTHESIA CONSULTANTS, LLC
Entity Type:Organization
Organization Name:JW ANESTHESIA CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-962-3335
Mailing Address - Street 1:1352 REVERE RD
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4353
Mailing Address - Country:US
Mailing Address - Phone:215-962-3335
Mailing Address - Fax:215-369-1460
Practice Address - Street 1:790 NEWTOWN YARDLEY RD STE 415
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4503
Practice Address - Country:US
Practice Address - Phone:215-962-3335
Practice Address - Fax:215-369-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-16
Last Update Date:2019-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty