Basic Information
| Provider Information | |||||||||
| NPI: | 1477518579 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MAY STREET ANESTHESIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 387 | ||||||||
| Address2: | |||||||||
| City: | FORDS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7328264177 | ||||||||
| FaxNumber: | 7326071160 | ||||||||
| Practice Location | |||||||||
| Address1: | 205 MAY ST | ||||||||
| Address2: | MAY STREET SURGI CTR | ||||||||
| City: | EDISON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08817 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7326619075 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WROBLESKI | ||||||||
| AuthorizedOfficialFirstName: | TED | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7328264177 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | NJ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.