Provider Demographics
NPI:1861658882
Name:C&M ANESTHESIA, LLP
Entity Type:Organization
Organization Name:C&M ANESTHESIA, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ANN-MARIE
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-301-7337
Mailing Address - Street 1:18 BUCK RUN
Mailing Address - Street 2:
Mailing Address - City:MOHNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19540-1219
Mailing Address - Country:US
Mailing Address - Phone:804-301-7337
Mailing Address - Fax:732-613-8508
Practice Address - Street 1:18 BUCK RUN
Practice Address - Street 2:
Practice Address - City:MOHNTON
Practice Address - State:PA
Practice Address - Zip Code:19540-1219
Practice Address - Country:US
Practice Address - Phone:804-301-7337
Practice Address - Fax:732-613-8508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA64427207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty