Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MD460625 | PA |
NPI | 1306185210 |
---|---|
Provider Name | Dr. Uchendu Orizu Uchendu |
First Address | Philadelphia, PA 19129-1302 |
Second Address | Caribou, ME 04736-3567 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2013 |
Last Update Date | 14/02/2018 |