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Organization

AVICENNA MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA MICHELE ROSSI D.O. (PRESIDENT/PSYCHIATRIST)
(973) 746-2620
Entity
Organization

Contact information

Practice address
129 VALLEY RD, 2ND FLOOR, MONTCLAIR, NJ 07042-2331
(973) 746-2620
(973) 746-2579
Mailing address
129 VALLEY RD, 2ND FLOOR, MONTCLAIR, NJ 07042-2331
(973) 746-2620
(973) 746-2579

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
25MB07627000
NJ

Other

Enumeration date
02/16/2015
Last updated
02/16/2015
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