Nellissery, Anju

Nellissery, Anju is an individual health care provider with primary practice located at Mcnally Brothers 75 Van Deene Ave, Suite 201, West Springfield MA 01089-3258. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Nellissery, Anju can be contacted via phone (413) 788-9621.

Contact Information

Primary practice address
Mcnally Brothers 75 Van Deene Ave, Suite 201 West Springfield MA 01089-3258
Phone: (413) 788-9621
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN1859832 Massachusetts

Profile Details

NPI number 1629598123
LBN Legal business name Nellissery, Anju
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Jul 13th, 2023 - about last year

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.

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