Doctor Name: | DR. ANANT PANKAJ JOSHI |
NPI Number: | 1295091528 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD00315400 |
Business Practice Address: | 1031 Mcbride Ave Suite D105 Woodland Park, NJ - 074242559 |
Business Phone Number: | 9732560002 |
Business Fax Number: | |
Mailing Address: | 1031 Mcbride Avenue, Suite D105 WOODLAND PARK |
State: | NJ |
Postal Code: | 07424 |
Phone Number: | 9732560002 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2012 |
NPI Last Update Date: | 01/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00315400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |