Individual
DR. IJEOMA G IFEANYI-NWANZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 225, HAGERSTOWN, MD 21742-6727
(301) 665-4720
Mailing address
11110 MEDICAL CAMPUS RD, STE 225, HAGERSTOWN, MD 21742-6727
(215) 893-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D85193
MD
207L00000X
Anesthesiology Physician
MT203944
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D85193
MD
Other
Enumeration date
05/10/2013
Last updated
12/11/2019
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