Individual
ANILA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 W RED BANK AVE, WOODBURY, NJ 08096-1694
(856) 853-2055
(856) 848-2879
Mailing address
4511 RHETT LN, FAIRFAX, VA 22030-6140
(585) 314-0557
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101255550
VA
207R00000X
Internal Medicine Physician
Primary
0101255550
VA
Other
Enumeration date
07/07/2011
Last updated
11/19/2019
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