Individual
ANASTASIYA ANISIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2225 E EVESHAM RD STE 101A, VOORHEES, NJ 08043-1557
(856) 795-4330
(856) 325-3704
Mailing address
190 W 54TH ST APT 218, BAYONNE, NJ 07002-3298
(908) 930-0581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
07/28/2024
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