Individual
ANUJA THATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4701 OGLETOWN STANTON RD STE 4200, NEWARK, DE 19713-2075
(302) 737-7700
(302) 737-5407
Mailing address
4701 OGLETOWN STANTON RD STE 4200, NEWARK, DE 19713-2075
(302) 737-7700
(302) 737-5407
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0011608
DE
363A00000X
Physician Assistant
PROCESSING
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
NY
Enumeration date
07/12/2017
Last updated
10/06/2021
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