Provider Demographics
NPI:1548049034
Name:ALLIANCE ANESTHESIA CONSULTANTS LLC
Entity type:Organization
Organization Name:ALLIANCE ANESTHESIA CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNROE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-766-0445
Mailing Address - Street 1:2667 TIMBERGLEN DR E
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-2502
Mailing Address - Country:US
Mailing Address - Phone:724-766-0445
Mailing Address - Fax:
Practice Address - Street 1:2667 TIMBERGLEN DR E
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-2502
Practice Address - Country:US
Practice Address - Phone:724-766-0445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty