Provider Demographics
NPI:1205080603
Name:ADUZ HEALTHCARE SERVICES, PC
Entity type:Organization
Organization Name:ADUZ HEALTHCARE SERVICES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NII TETTEH
Authorized Official - Middle Name:TSURU
Authorized Official - Last Name:ADDY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:575-361-2610
Mailing Address - Street 1:1016 W PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-4013
Mailing Address - Country:US
Mailing Address - Phone:575-361-2610
Mailing Address - Fax:
Practice Address - Street 1:1016 W PIERCE ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-4013
Practice Address - Country:US
Practice Address - Phone:575-361-2610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty