Provider Demographics
NPI:1730387168
Name:TANASE, ANCA (MD)
Entity type:Individual
Prefix:
First Name:ANCA
Middle Name:
Last Name:TANASE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:146 SADDLEBACK CT
Mailing Address - Street 2:APART #2
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1759
Mailing Address - Country:US
Mailing Address - Phone:973-512-3964
Mailing Address - Fax:973-512-3962
Practice Address - Street 1:146 SADDLEBACK CT
Practice Address - Street 2:APART #2
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1759
Practice Address - Country:US
Practice Address - Phone:973-512-3964
Practice Address - Fax:973-512-3962
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYP58179207R00000X
PAMD457735207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine