Provider Demographics
NPI:1902199029
Name:ANYAOGU-LIPPMAN, UZOAMAKA ENUMA (MD)
Entity Type:Individual
Prefix:DR
First Name:UZOAMAKA
Middle Name:ENUMA
Last Name:ANYAOGU-LIPPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W JERSEY ST
Mailing Address - Street 2:12 E
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-1354
Mailing Address - Country:US
Mailing Address - Phone:908-662-0747
Mailing Address - Fax:
Practice Address - Street 1:220 W JERSEY ST
Practice Address - Street 2:12 E
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1354
Practice Address - Country:US
Practice Address - Phone:908-662-0747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261421207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine