| Doctor Name: | MS. PATRICIA ANN ANSELMO |
| NPI Number: | 1053423418 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APN,C |
| License Number: | NO06391700 |
| Business Practice Address: | 620 Cranbury Rd Suite #90 East Brunswick, NJ - 088164098 |
| Business Phone Number: | 7322570081 |
| Business Fax Number: | |
| Mailing Address: | 620 Cranbury Rd, Suite #90 EAST BRUNSWICK |
| State: | NJ |
| Postal Code: | 088164098 |
| Phone Number: | 7322570081 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | NO06391700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |