Individual
EDITHA ANSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
377 JERSEY AVE, SUITE 420, JERSEY CITY, NJ 07302-4393
(201) 333-0003
(201) 333-0006
Mailing address
377 JERSEY AVE, SUITE 420, JERSEY CITY, NJ 07302-4393
(201) 333-0003
(201) 333-0006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06171000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6517803
—
NJ
Enumeration date
11/03/2006
Last updated
03/22/2012
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