Individual
ANASTASIA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-6025
(732) 324-3336
Mailing address
401 HACKENSACK AVE STE 104, HACKENSACK, NJ 07601-6445
(201) 979-8910
(201) 979-8909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00660900
NJ
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/19/2020
Last updated
06/11/2025
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