Individual
CHINEDU IMMANUEL ANYAEJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 FENWOOD RD # 8232, BOSTON, MA 02115-6128
(617) 732-5056
Mailing address
60 FENWOOD RD # 8232, BOSTON, MA 02115-6128
(617) 732-5056
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
287456
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
09/29/2021
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