Provider Demographics
NPI:1154782308
Name:ANUZO MEDICAL SERVICES INC
Entity type:Organization
Organization Name:ANUZO MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:U
Authorized Official - Last Name:ANIGBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-276-1390
Mailing Address - Street 1:132 N DUNCAN ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1637
Mailing Address - Country:US
Mailing Address - Phone:410-276-1390
Mailing Address - Fax:
Practice Address - Street 1:132 N DUNCAN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1637
Practice Address - Country:US
Practice Address - Phone:410-276-1390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0068465207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty