Healthcare Provider Details

I. General information

NPI: 1518065168
Provider Name (Legal Business Name): ANNA SECHSER PERL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 2ND AVE
LONG BRANCH NJ
07740-6303
US

IV. Provider business mailing address

PO BOX 8000 DEPT 596
BUFFALO NY
14267-0002
US

V. Phone/Fax

Practice location:
  • Phone: 732-923-7455
  • Fax: 732-923-7451
Mailing address:
  • Phone: 866-295-0041
  • Fax: 706-342-2517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number25MA08311500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA08311500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: