Shoshilos, Anna

Shoshilos, Anna is an individual health care provider with primary practice located at 420 Grand Ave Suite: 202, Englewood NJ 07631-4152. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shoshilos, Anna can be contacted via phone (201) 871-4040.

Contact Information

Primary practice address
420 Grand Ave Suite: 202 Englewood NJ 07631-4152
Phone: (201) 871-4040
Fax: (201) 871-7326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MB69060 New Jersey

Profile Details

NPI number 1427025980
LBN Legal business name Shoshilos, Anna
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jan 24th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427025980 NPPES
New Jersey Other 223450311 TAX ID/FHC/166 LYONS AVE
New Jersey Other 223680351 TAX ID/FHC/166 LYONS AVE
New Jersey MEDICAID 8184801 TAX ID/FHC/166 LYONS AVE

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