Anyanwu, Justina
Anyanwu, Justina is an sole proprietor health care provider with primary practice located at 1182 Stuyvesant Ave , Irvington NJ 07111-1057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anyanwu, Justina can be contacted via phone (973) 399-0571.Contact Information
Primary practice address
1182 Stuyvesant Ave
Irvington NJ 07111-1057
Phone: (973) 399-0571
Fax: (973) 399-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA060169 | New Jersey |
Profile Details
| NPI number | 1124034806 |
|---|---|
| LBN Legal business name | Anyanwu, Justina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124034806 | NPPES |
| New Jersey | MEDICAID | 7191308 |
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