Doctor Name: | EDWIN UZU |
NPI Number: | 1114152949 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 277156-1 |
Business Practice Address: | 500 University Dr Hershey, PA - 170332360 |
Business Phone Number: | 7175318521 |
Business Fax Number: | |
Mailing Address: | 127 Fulton Ave, Apt G4 POUGHKEEPSIE |
State: | NY |
Postal Code: | 126032846 |
Phone Number: | 5164065913 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2009 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 277156-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |