Organization
ANUKWARE KETOSUGBO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUKWARE K KETOSUGBO MD (OWNER)
(718) 622-1301
Entity
Organization
Contact information
Practice address
20 PLAZA STEET EAST, BROOKLYN, NY 11238
(718) 622-1301
(718) 622-1367
Mailing address
PO BOX 5619, NEW YORK, NY 10087-5619
(718) 622-1301
(718) 622-1367
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
147545
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
147545
NY
Other
Enumeration date
12/12/2011
Last updated
07/15/2015
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