Chioma Anita Agwu, MD
Student in an Organized Health Care Education/Training Program in Middletown, NY. Individual provider (NPI-1).
NPI number1477248854
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1477248854
- Entity type
- Individual (NPI-1)
- Name
- Chioma Anita Agwu
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
75 Crystal Run Rd Ste 135Middletown, NY 10941-7009
Phone 845-333-7373 · Fax 845-333-7696
Mailing address
707 E Main StMiddletown, NY 10940-2650
Phone 845-333-7373 · Fax 845-333-7342
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