Provider Demographics
NPI:1962033993
Name:QUALITY ANESTHESIA SERVICES
Entity Type:Organization
Organization Name:QUALITY ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAREEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ELTAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-847-8079
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-0629
Mailing Address - Country:US
Mailing Address - Phone:201-847-8079
Mailing Address - Fax:201-847-0059
Practice Address - Street 1:133 N KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1313
Practice Address - Country:US
Practice Address - Phone:201-847-8079
Practice Address - Fax:201-847-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty