Individual
ANUSARI DEWASURENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(734) 717-4088
Mailing address
405 GLENN AVE, GLENSHAW, PA 15116-2411
(734) 717-4088
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
30392
WV
Other
Enumeration date
03/27/2016
Last updated
09/07/2021
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