| Uchenna Uzoukwu, Md Llc | |
|
121 Progress Ave Fl 2 Pottsville PA 17901-2968 | |
| (570) 621-5015 | |
| (570) 621-5858 |
| Full Name | Uchenna Uzoukwu, Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 121 Progress Ave Fl 2, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Uchenna Uzoukwu (PHYSICIAN) |
| Authorized Official Contact | 5706215015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uchenna Uzoukwu, Md Llc Po Box 561 Pottsville PA 17901-0561 Ph: (570) 621-5015 | Uchenna Uzoukwu, Md Llc 121 Progress Ave Fl 2 Pottsville PA 17901-2968 Ph: (570) 621-5015 |
| NPI Number | 1811032253 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811032253 | NPI | - | NPPES |
| 1015888550001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD059079L (Pennsylvania) | Primary |
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