SIDRA ANIS
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1225698202- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 904 BAYONNE CROSSING WAY, BAYONNE, NJ, 070025307
- Phone
- (551) 497-5675
- Fax
- (551) 497-5676
Specialties & Taxonomies
Physician Assistant
Physician Assistant, Medical
Primary License: NJ #25MP00645300