Provider Demographics
NPI:1841331808
Name:POPA, ANCA (MD)
Entity type:Individual
Prefix:DR
First Name:ANCA
Middle Name:
Last Name:POPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 MARINE PLZ
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-6238
Mailing Address - Country:US
Mailing Address - Phone:201-662-9122
Mailing Address - Fax:201-662-1865
Practice Address - Street 1:1 MARINE PLZ
Practice Address - Street 2:SUITE 102
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-6238
Practice Address - Country:US
Practice Address - Phone:201-662-9122
Practice Address - Fax:201-662-1865
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03350700207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA03350700OtherLICENSE