Healthcare Provider Details

I. General information

NPI: 1346406402
Provider Name (Legal Business Name): WILLIAM C. ANANIA, DPM, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 TINDALL RD
MIDDLETOWN NJ
07748-2337
US

IV. Provider business mailing address

112 TINDALL RD
MIDDLETOWN NJ
07748-2337
US

V. Phone/Fax

Practice location:
  • Phone: 732-671-3939
  • Fax:
Mailing address:
  • Phone: 732-671-3939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00157600
License Number StateNJ

VIII. Authorized Official

Name: DR. WILLIAM CHRISTIAN ANANIA
Title or Position: PODIATRIST
Credential: D.P.M.
Phone: 732-671-3939