Healthcare Provider Details

I. General information

NPI: 1417934712
Provider Name (Legal Business Name): ANNA SLAVIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 JACKSON AVE
POMPTON PLAINS NJ
07444-1479
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 973-835-2575
  • Fax: 973-835-0531
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA68746
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: