Healthcare Provider Details

I. General information

NPI: 1457322331
Provider Name (Legal Business Name): ANITA PARMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS 3959 BROADWAY
NEW YORK NY
10032
US

IV. Provider business mailing address

24 WELLINGTON DR
BASKING RIDGE NJ
07920-3827
US

V. Phone/Fax

Practice location:
  • Phone: 212-304-7250
  • Fax:
Mailing address:
  • Phone: 908-781-9525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number222070
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: