Provider Demographics
NPI:1841213857
Name:ANESTHESIA ASSOCIATES OF KENT COUNTY, LLC
Entity Type:Organization
Organization Name:ANESTHESIA ASSOCIATES OF KENT COUNTY, LLC
Other - Org Name:KENT COUNTY SURGICAL CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:COMITO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:401-738-7750
Mailing Address - Street 1:PO BOX 643769
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-3769
Mailing Address - Country:US
Mailing Address - Phone:401-738-7750
Mailing Address - Fax:401-738-9750
Practice Address - Street 1:400 BALD HILL RD
Practice Address - Street 2:SUITE 503
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1617
Practice Address - Country:US
Practice Address - Phone:401-738-7750
Practice Address - Fax:401-738-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty