Healthcare Provider Details

I. General information

NPI: 1275598104
Provider Name (Legal Business Name): ANA M CILURSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SHORE RD
SOMERS POINT NJ
08244-2332
US

IV. Provider business mailing address

1 E. NEW YORK AVE 4TH FLOOR - SPG
SOMERS POINT NJ
08244
US

V. Phone/Fax

Practice location:
  • Phone: 609-365-6200
  • Fax: 609-926-4311
Mailing address:
  • Phone: 609-365-6200
  • Fax: 609-926-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMA47711
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: