HARTFORD ANESTHESIA GROUP, LLC
Anesthesiologist Assistant at Main St, Hartford, CT

License number
Connecticut 51447
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. KENNETH SMITH MD
Title: PRESIDENT
Phone: (856) 356-4000
Address
Address 2
1 Main St UNIT N1, Hartford, CT 06106
601 Chapel Ave E SUITE B, Cherry Hill, NJ 08034
National Provider ID: 1003158239
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HARTFORD ANESTHESIA GROUP LLC

Hartford, CT  -  Cherry Hill, NJ

Registration:
Apr 8, 2013
Addresses:
1 Main St, Hartford, CT 06106 (Physical)
601 Chapel Ave E, Cherry Hill, NJ 08034 (Mailing)
State ID:
1103469
Business type:
Domestic Limited Liability Company
Members:
Randy Lazarus (Member), 601 Chapel Ave E, Cherry Hill, NJ 08034 (Mailing)
2301 Cherry St APT 16C, Philadelphia, PA 19103 (Physical),Kenneth Smith (Member), 502 Kings Hwy N, Cherry Hill, NJ 08034 (Mailing)
123 Willow Oaks Ln, Mullica Hill, NJ 08062 (Physical)
Agent:
Jamie Beers,1 Main St, Hartford, CT 06106 (Mailing)
80 Coits Pond Rd, Ashford, CT 06278 (Physical)

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