Provider Demographics
NPI:1588737704
Name:ANESTHESIA GROUP OF ORANGE
Entity type:Organization
Organization Name:ANESTHESIA GROUP OF ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-677-3032
Mailing Address - Street 1:80 MAIN STREET
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052
Mailing Address - Country:US
Mailing Address - Phone:973-677-3032
Mailing Address - Fax:973-677-3464
Practice Address - Street 1:80 MAIN STREET
Practice Address - Street 2:5TH FLOOR
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052
Practice Address - Country:US
Practice Address - Phone:973-677-3032
Practice Address - Fax:973-677-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2862301Medicaid
NJ2862301Medicaid