Individual
ANNA HARUTYUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 E RIDGEWOOD AVE, BLDG 6, SECOND FLOOR, PARAMUS, NJ 07652-4142
(201) 362-3978
Mailing address
28 WOODCREST DR, WOODCLIFF LAKE, NJ 07677-7628
(201) 362-3978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08285000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206512
—
NJ
Enumeration date
05/30/2008
Last updated
07/12/2016
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