Provider Demographics
NPI:1659593473
Name:ROSSI, ANNA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:ROSSI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8 PRODUCTION WAY
Mailing Address - Street 2:ADTC-HOSPITAL
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001-1628
Mailing Address - Country:US
Mailing Address - Phone:732-574-2250
Mailing Address - Fax:732-882-0773
Practice Address - Street 1:8 PRODUCTION WAY
Practice Address - Street 2:ADTC-HOSPITAL
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1628
Practice Address - Country:US
Practice Address - Phone:732-574-2250
Practice Address - Fax:732-882-0773
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMB076270002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry