Provider Demographics
NPI:1790075836
Name:ANYANWU, JULIANA N (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:N
Last Name:ANYANWU
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:859 WILLARD ST STE 400
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7469
Mailing Address - Country:US
Mailing Address - Phone:984-400-0835
Mailing Address - Fax:984-468-5305
Practice Address - Street 1:859 WILLARD ST STE 400
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7469
Practice Address - Country:US
Practice Address - Phone:984-400-0835
Practice Address - Fax:984-468-5305
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA281872208000000X, 2080P0204X
OH35.1243652080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics