# ANNA SHOSHILOS, D.O, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992057095
- **Authorized official:** DR. ANNA SHOSHILOS D.O (OWNER)
- **Authorized official phone:** (973) 699-6765

## Contact information

- **Practice address:** 784 CHIMNEY ROCK RD, SUITE: G, MARTINSVILLE, NJ 08836-2272
- **Practice address phone:** (732) 271-1771
- **Practice address fax:** (732) 271-9477
- **Mailing address:** 96 LINWOOD PLZ, SUITE NUMBER: 347, FORT LEE, NJ 07024-3701
- **Mailing address phone:** (973) 699-9765
- **Mailing address fax:** (347) 474-7300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MB06906000 | NJ | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012