Healthcare Provider Details

I. General information

NPI: 1558597336
Provider Name (Legal Business Name): ANNA IONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2009
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MADISON AVE STE 103
MORRISTOWN NJ
07960-7331
US

IV. Provider business mailing address

40 BRIGHTON 1ST RD APT 17F
BROOKLYN NY
11235-8132
US

V. Phone/Fax

Practice location:
  • Phone: 973-455-7444
  • Fax: 973-455-7447
Mailing address:
  • Phone: 347-820-1123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA10190400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: