Dr. Anna Radisic, MD
Internal Medicine in Lodi, NJ. Individual provider (NPI-1).
NPI number1013545862
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1013545862
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anna Radisic
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2020
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA12521300 | NJ | Yes |
| 207R00000X | Internal Medicine | ME160304 | FL |
Practice location
160 Essex St Ste 102Lodi, NJ 07644-2709
Phone 551-996-8111 · Fax 551-996-8445
Mailing address
17 Davis Blvd Ste 308Tampa, FL 33606-3438
Other practice locations
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Tampa, FL 33606-3438
Phone 813-974-2201
2 Tampa General Cir
Tampa, FL 33606-3571
Tampa, FL 33606-3571
Phone 813-821-8038 · Fax 813-974-0483
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