Provider Demographics
NPI:1316525801
Name:TRISTATE ANESTHESIA PHYSICIANS
Entity type:Organization
Organization Name:TRISTATE ANESTHESIA PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHANGZHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-922-6797
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-0629
Mailing Address - Country:US
Mailing Address - Phone:201-847-8079
Mailing Address - Fax:201-847-0059
Practice Address - Street 1:330 SALEM WOODSTOWN RD STE 8
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NJ
Practice Address - Zip Code:08079-2034
Practice Address - Country:US
Practice Address - Phone:201-847-8079
Practice Address - Fax:201-847-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty