Provider Demographics
NPI:1194891481
Name:STERN, ANITA (NP)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:STERN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 OLD HOOK RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-3117
Mailing Address - Country:US
Mailing Address - Phone:201-358-0505
Mailing Address - Fax:201-497-1133
Practice Address - Street 1:270 OLD HOOK RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-3117
Practice Address - Country:US
Practice Address - Phone:201-358-0505
Practice Address - Fax:201-497-1133
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ05478300363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ05478300OtherNJ LICENSE