Provider Demographics
NPI:1669409561
Name:ANESTHESIOLOGY INC
Entity type:Organization
Organization Name:ANESTHESIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ANESTHESIOLOGY INC
Authorized Official - Prefix:
Authorized Official - First Name:KUE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-274-8110
Mailing Address - Street 1:PO BOX 603314
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906
Mailing Address - Country:US
Mailing Address - Phone:401-274-8110
Mailing Address - Fax:401-861-5220
Practice Address - Street 1:101 DUDLEY ST
Practice Address - Street 2:C/O WOMEN & INFANTS HOSPITAL
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-2401
Practice Address - Country:US
Practice Address - Phone:401-274-8110
Practice Address - Fax:401-861-5220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9764097Medicaid
RI9000421Medicaid