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Individual

CHUKWUMA PAUL ANYADIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
193 STONER AVE, STE 130, WESTMINSTER, MD 21157-5782
(410) 751-1387
(410) 871-0603

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35122805
OH
208600000X
Surgery Physician
25MA07692200
NJ
208C00000X
Colon & Rectal Surgery Physician
D0070668
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
231801600
MD
Enumeration date
12/14/2008
Last updated
05/07/2014
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