Basic Information
| Provider Information | |||||||||
| NPI: | 1063837193 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | PERLIK | ||||||||
| FirstName: | ANNA | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 82 BROOKHILL DR | ||||||||
| Address2: | |||||||||
| City: | HOWELL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077311804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7325893708 | ||||||||
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| Practice Location | |||||||||
| Address1: | 445 WHITE HORSE AVE STE 202 | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086101410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6095851213 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2014 | ||||||||
| LastUpdateDate: | 02/26/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 26NJ00477800 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.