Individual
SIDRA ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 BAYONNE CROSSING WAY, BAYONNE, NJ 07002-5307
(551) 497-5675
(551) 497-5676
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
25MP00645300
NJ
Other
Enumeration date
06/20/2019
Last updated
09/29/2022
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