Provider Demographics
NPI:1932632478
Name:UNIVERSITY ANESTHESIA SERVICES
Entity Type:Organization
Organization Name:UNIVERSITY ANESTHESIA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF ANESTHESIA
Authorized Official - Prefix:DR
Authorized Official - First Name:DURGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANKIKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-487-5044
Mailing Address - Street 1:61 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6426
Mailing Address - Country:US
Mailing Address - Phone:516-487-5044
Mailing Address - Fax:516-487-5043
Practice Address - Street 1:61 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:NEPTUNE CITY
Practice Address - State:NJ
Practice Address - Zip Code:07753-6426
Practice Address - Country:US
Practice Address - Phone:516-487-5044
Practice Address - Fax:516-487-5043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty