Organization
ANTHONY S KARUZA DPM PS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY S KARUZA DPM (OWNER)
(360) 647-0557
Entity
Organization
Contact information
Practice address
3120 SQUALICUM PKWY, BELLINGHAM, WA 98225-1934
(360) 647-0557
(360) 733-2892
Mailing address
3120 SQUALICUM PKWY, BELLINGHAM, WA 98225-1934
(360) 647-0557
(360) 733-2892
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
50-C0001125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0146569
L & I
WA
01
—
459512002
GROUP HEALTH
WA
05
—
7084759
—
WA
01
—
88070410
MEDICARE PTAN
WA
Enumeration date
10/02/2006
Last updated
02/25/2008
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