Roussel, Anisha L
Roussel, Anisha L is an individual health care provider with primary practice located at 1601 Haddon Ave , Camden NJ 08103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Roussel, Anisha L can be contacted via phone (856) 757-3700.Contact Information
Primary practice address
1601 Haddon Ave
Camden NJ 08103
Phone: (856) 757-3700
Fax: (856) 365-7972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07242200 | New Jersey |
Profile Details
| NPI number | 1558349597 |
|---|---|
| LBN Legal business name | Roussel, Anisha L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Feb 17th, 2021 - about 4 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 | 1558349597 | NPPES |
| New Jersey | MEDICAID | 8844704 |
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