Mader, Anju G

Mader, Anju G is an individual health care provider with primary practice located at 1320 Mercy Dr Nw , Canton OH 44708-2614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mader, Anju G can be contacted via phone (330) 489-1044.

Contact Information

Primary practice address
1320 Mercy Dr Nw Canton OH 44708-2614
Phone: (330) 489-1044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35068459M Ohio

Profile Details

NPI number 1457333783
LBN Legal business name Mader, Anju G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Dec 10th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457333783 NPPES
Ohio MEDICAID 0155246
Ohio Other 1902827876

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