Healthcare Provider Details
I. General information
NPI: 1093972622
Provider Name (Legal Business Name): ANS PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9003 HAVENSIGHT MALL #311
ST THOMAS VI
00802
US
IV. Provider business mailing address
9003 HAVENSIGHT MALL #311
STTHOMAS VI VI
00802
US
V. Phone/Fax
- Phone: 340-774-1241
- Fax:
- Phone: 340-774-1241
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 1229 |
| License Number State | VI |
VIII. Authorized Official
Name: DR.
ANTHONY
HAWKE
FRANCIS
Title or Position: PEDIATRICIAN
Credential: MD
Phone: 340-774-1241