Provider Demographics
NPI:1417566068
Name:ANZ MEDICINE LLC
Entity Type:Organization
Organization Name:ANZ MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:RAMZI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPAS, PA-C
Authorized Official - Phone:917-767-4277
Mailing Address - Street 1:438 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-2126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:201-336-9157
Practice Address - Street 1:115 RIVER RD STE 118
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1009
Practice Address - Country:US
Practice Address - Phone:917-767-4277
Practice Address - Fax:201-336-9157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty