Healthcare Provider Details

I. General information

NPI: 1679711337
Provider Name (Legal Business Name): ANNA P SZEMIOT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2009
Last Update Date: 02/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

496 E MAIN ST 1
DENVILLE NJ
07834-2554
US

IV. Provider business mailing address

2 FOOTE LN
MORRIS PLAINS NJ
07950-3308
US

V. Phone/Fax

Practice location:
  • Phone: 973-627-1000
  • Fax: 973-285-1993
Mailing address:
  • Phone: 973-539-7636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number25MA02974900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: