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Contact Information

MOBILE ANESTHESIA SERVICE CONCEPTS, LLC
9525 FRANKFORD AVENUE
PHILADELPHIA, PA19114
 Phone: 215-333-9696
 Fax: 215-333-8514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MOBILE ANESTHESIA SERVICE CONCEPTS, LLC

NPI Number 1477652279
LBN Legal business name MOBILE ANESTHESIA SERVICE CONCEPTS, LLC
Authorized official ANTHONY DEMARCO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA License # OS007111L
PA Medicaid 01414076
PA Other 2641124000 AMERIHEALTH PPO
PA Other 49665 BLUE SHIELD FEDERAL PROGR
PA Other 49665 BLUE SHIELD PPO
PA Other 0661247000 KEYSTONE
PA Other 0661247000 PERSONAL CHOICE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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