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NPI Profile for CCMMA NJ LLC in PASSAIC, NJ.
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
207LC0200X | 05 | Physician/Anesthesiology | |
Critical Care Medicine |
207RC0200X | 11 | Physician/Internal Medicine | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1124543095 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/11/2017 | |
| Last updated | 10/14/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CCMMA NJ LLC
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CCMMA NJ LLC