Individual provider · Type 1 NPI

Sidra Anis

Medical Physician Assistant · Bayonne, NJ

NPI number 1225698202 Active

Practice location

904 Bayonne Crossing Way
Bayonne, NJ 07002-5307

Fax (551) 497-5676

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X25MP00645300 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1225698202

Sidra Anis's National Provider Identifier is 1225698202, issued on Jun 20, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bayonne, NJ. The record was last updated on Sep 29, 2022.