Individual
DR. EMMANUEL CHUKWYBYEZE UDDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
230264-1
NY
207L00000X
Anesthesiology Physician
Primary
MD066184L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018123690001
—
PA
05
—
02095870
—
NY
01
—
050076233
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039832
PA MEDICARE GROUP
PA
01
—
P00316313
RR MEDICARE PIN
NY
Enumeration date
02/24/2006
Last updated
09/16/2011
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