Provider Demographics
NPI:1861663544
Name:SPARTA ANESTHESIA ASSOCIATES, LLC
Entity Type:Organization
Organization Name:SPARTA ANESTHESIA ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-442-9980
Mailing Address - Street 1:PO BOX 95000-3325
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-0001
Mailing Address - Country:US
Mailing Address - Phone:201-804-2800
Mailing Address - Fax:
Practice Address - Street 1:380 LAFAYETTE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3556
Practice Address - Country:US
Practice Address - Phone:973-940-3166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty