Provider Demographics
NPI:1457317554
Name:USOWICZ, ANNA G (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:G
Last Name:USOWICZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:NEONATOLOGY 3RD FLOOR
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3276
Mailing Address - Fax:510-450-5823
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:NEONATOLOGY 3RD FLOOR
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3276
Practice Address - Fax:510-450-5823
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2020-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36956174400000X, 2080N0001X
WAMD610151672080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA202949940Medicare UPIN