Provider Demographics
NPI:1578794335
Name:ZAJAC, ANNA (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ZAJAC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 ROUTE 206
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4781
Mailing Address - Country:US
Mailing Address - Phone:908-685-2528
Mailing Address - Fax:732-463-6065
Practice Address - Street 1:331 ROUTE 206
Practice Address - Street 2:SUITE 2B
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4781
Practice Address - Country:US
Practice Address - Phone:908-685-2528
Practice Address - Fax:732-463-6065
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08895800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ227016Medicare UPIN
NJ227016Medicare PIN