Provider Demographics
NPI:1457559973
Name:ROBERTOZZI, ANITA (DPM)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:ROBERTOZZI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 ROUTE 530 STE 19A
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-3140
Mailing Address - Country:US
Mailing Address - Phone:732-546-2362
Mailing Address - Fax:732-716-1290
Practice Address - Street 1:550 ROUTE 530 STE 19A
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-3140
Practice Address - Country:US
Practice Address - Phone:732-546-2362
Practice Address - Fax:732-716-1290
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00291800213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist