Individual
ANIS RANGWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 JACK MARTIN BLVD, DEPT OF PATHOLOGY OCEAN MED CENTER, BRICK, NJ 08724
(732) 840-3218
(732) 458-3851
Mailing address
2517 HIGHWAY 35, BLDG M SUITE 101, MANASQUAN, NJ 08736-1918
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA03408800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8093504
—
NJ
Enumeration date
01/24/2006
Last updated
01/02/2008
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