Provider Demographics
NPI:1659035509
Name:MONMOUTH ANESTHESIA ASSOCIATES LLC
Entity type:Organization
Organization Name:MONMOUTH ANESTHESIA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSHVARDHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAOBAL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:917-355-5999
Mailing Address - Street 1:441 CENTRAL PARK AVE # 1370
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1016
Mailing Address - Country:US
Mailing Address - Phone:718-255-6391
Mailing Address - Fax:718-255-6392
Practice Address - Street 1:1255 BROAD ST STE 200
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3061
Practice Address - Country:US
Practice Address - Phone:973-842-2150
Practice Address - Fax:973-338-3545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty