Basic Information
| Provider Information | |||||||||
| NPI: | 1447552286 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MEDICAL ANESTHESIOLOGY ASSOCIATES P.C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 ARMSTRONG RD | ||||||||
| Address2: | |||||||||
| City: | SHELTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064844721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2039290756 | ||||||||
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| Address1: | 4 ARMSTRONG RD | ||||||||
| Address2: | |||||||||
| City: | SHELTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064844721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2039297353 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2010 | ||||||||
| LastUpdateDate: | 11/30/2010 | ||||||||
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| AuthorizedOfficialLastName: | BLADEK | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
| AuthorizedOfficialMiddleName: | R. | ||||||||
| AuthorizedOfficialTitleorPosition: | CHAIRMAN, DEPARTMENT OF ANESTHESIA | ||||||||
| AuthorizedOfficialTelephone: | 2039290756 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.