Individual
ADANZE AGUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HALLECK ST, BRONX, NY 10474-7085
(347) 774-7359
Mailing address
16 BROOKWOOD DR, MAPLEWOOD, NJ 07040-1905
(862) 250-1352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L1377739
MI
207R00000X
Internal Medicine Physician
L1377740
MI
208D00000X
General Practice Physician
Primary
274508-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
0116021876
VA
Other
Enumeration date
08/12/2008
Last updated
08/22/2015
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