Provider Demographics
NPI:1457520843
Name:ANTHONY S KARUZA DPM PS INC
Entity Type:Organization
Organization Name:ANTHONY S KARUZA DPM PS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:KARUZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-647-0557
Mailing Address - Street 1:3120 SQUALICUM PKWY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1934
Mailing Address - Country:US
Mailing Address - Phone:360-647-0557
Mailing Address - Fax:360-733-2892
Practice Address - Street 1:3120 SQUALICUM PKWY
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1934
Practice Address - Country:US
Practice Address - Phone:360-647-0557
Practice Address - Fax:360-733-2892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO0000289332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies