Dedona, Anna
Dedona, Anna is an individual health care provider with primary practice located at 2125 Route 88 E , Brick NJ 08724-3273. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dedona, Anna can be contacted via phone (732) 892-4548.Contact Information
Primary practice address
2125 Route 88 E
Brick NJ 08724-3273
Phone: (732) 892-4548
Fax: (732) 892-0961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MB0063860 | New Jersey |
Profile Details
| NPI number | 1194721902 |
|---|---|
| LBN Legal business name | Dedona, Anna |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Sep 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194721902 | NPPES |
| New Jersey | MEDICAID | 7031203 |
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