Individual
ANNE KRISTIN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
88 PARK AVE STE 2A, NUTLEY, NJ 07110-3500
(973) 571-2121
Mailing address
25 AVE AT PORT IMPERIAL APT 404, WEST NEW YORK, NJ 07093-8354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00555300
NJ
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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