Provider Demographics
NPI:1134181886
Name:POZZOLI, ANA L (PT)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:L
Last Name:POZZOLI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 BROAD ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2884
Mailing Address - Country:US
Mailing Address - Phone:973-429-0890
Mailing Address - Fax:973-748-8661
Practice Address - Street 1:1018 BROAD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2884
Practice Address - Country:US
Practice Address - Phone:973-429-0890
Practice Address - Fax:973-748-8661
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA009237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ884910 (ID # XK8580)OtherHEALTHNET INSURANCE
NJ1409747-04OtherUNITEDHEALTHCARE INSURANC
NJ2694024OtherAETNA
NJ2694024OtherAETNA