Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 25MD00246300 | NJ |
Y | 213ES0000X | Sports Medicine | 25MD00246300 | NJ |
NPI | 1003972803 |
---|---|
Provider Name | Mrs. Ana J Sanz |
First Address | Little Silver, NJ 07739-1150 |
Second Address | Little Silver, NJ 07739-1150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U77557 | (02) | NJ |