Provider Demographics
NPI:1235205949
Name:KUMARI, ANNE L N (MD PHD)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:L N
Last Name:KUMARI
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:MRS
Other - First Name:KUMARI
Other - Middle Name:L N
Other - Last Name:DEVINENI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1189 VENEZIA AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361
Mailing Address - Country:US
Mailing Address - Phone:856-696-6431
Mailing Address - Fax:856-794-5803
Practice Address - Street 1:777 S WHITE HORSE PIKE
Practice Address - Street 2:SUITE E
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2029
Practice Address - Country:US
Practice Address - Phone:609-567-0608
Practice Address - Fax:609-567-1295
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO3490800208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ643536B1HOtherMEDICARE LEGACY ID
NJ4474201Medicaid
NJE67817Medicare UPIN