Provider Demographics
NPI:1679711337
Name:SZEMIOT, ANNA P (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:P
Last Name:SZEMIOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 FOOTE LN
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-3308
Mailing Address - Country:US
Mailing Address - Phone:973-539-7636
Mailing Address - Fax:
Practice Address - Street 1:496 E MAIN ST
Practice Address - Street 2:1
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2554
Practice Address - Country:US
Practice Address - Phone:973-627-1000
Practice Address - Fax:973-285-1993
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02974900207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2064201Medicaid
NJ456119Medicare PIN