Provider Demographics
NPI:1235562547
Name:RATWANI, ANISHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANISHA
Middle Name:
Last Name:RATWANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 CHEESEQUAKE RD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1204
Mailing Address - Country:US
Mailing Address - Phone:732-662-0113
Mailing Address - Fax:
Practice Address - Street 1:850 BROAD ST
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4214
Practice Address - Country:US
Practice Address - Phone:732-741-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-11
Last Update Date:2013-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02544600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist