Provider Demographics
NPI:1811942550
Name:CENTER FOR AMBULATORY ANESTHESIA
Entity type:Organization
Organization Name:CENTER FOR AMBULATORY ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-366-1727
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:OREFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:18069-0246
Mailing Address - Country:US
Mailing Address - Phone:610-366-1727
Mailing Address - Fax:
Practice Address - Street 1:5000 W TILGHMAN ST
Practice Address - Street 2:SUITE 249
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9109
Practice Address - Country:US
Practice Address - Phone:610-366-1727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies