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Contact Information

SIDRA ANIS
904 BAYONNE CROSSING WAY
BAYONNE, NJ07002-5307
 Phone: 551-497-5675
 Fax: 551-497-5676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SIDRA ANIS · (Female)

NPI Number 1225698202
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2019
Last updated 09/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00645300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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