Provider Demographics
NPI:1770746224
Name:ANORUO, DARLENE (MD)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:ANORUO
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 1:3902 CITY AVE
Mailing Address - Street 2:1202C
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-2910
Mailing Address - Country:US
Mailing Address - Phone:916-708-6810
Mailing Address - Fax:
Practice Address - Street 1:10 SHURS LN
Practice Address - Street 2:203
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19127-2123
Practice Address - Country:US
Practice Address - Phone:215-482-1234
Practice Address - Fax:215-482-0465
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-04
Last Update Date:2008-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193947207Q00000X, 282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No282N00000XHospitalsGeneral Acute Care Hospital