Healthcare Provider Details

I. General information

NPI: 1316948268
Provider Name (Legal Business Name): ANNA FERRARI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 LITTLE ALBANY ST
NEW BRUNSWICK NJ
08901-1914
US

IV. Provider business mailing address

195 LITTLE ALBANY ST
NEW BRUNSWICK NJ
08901-1914
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-7687
  • Fax: 732-235-8808
Mailing address:
  • Phone: 732-235-7687
  • Fax: 732-235-8808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number163076
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA09684600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: