Provider Demographics
NPI:1962014738
Name:ANWAR, RONA
Entity Type:Individual
Prefix:
First Name:RONA
Middle Name:
Last Name:ANWAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 CHESAPEAKE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE HIAWATHA
Mailing Address - State:NJ
Mailing Address - Zip Code:07034-1715
Mailing Address - Country:US
Mailing Address - Phone:973-287-9911
Mailing Address - Fax:
Practice Address - Street 1:93 CHESAPEAKE AVE
Practice Address - Street 2:
Practice Address - City:LAKE HIAWATHA
Practice Address - State:NJ
Practice Address - Zip Code:07034-1715
Practice Address - Country:US
Practice Address - Phone:973-287-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst