Healthcare Provider Details

I. General information

NPI: 1639581861
Provider Name (Legal Business Name): BUU ANH TO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANH TO MD

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE GUTHRIE SQUARE
SAYRE PA
18840
US

IV. Provider business mailing address

1 GUTHRIE DR # 107
CORNING NY
14830-2899
US

V. Phone/Fax

Practice location:
  • Phone: 570-887-3585
  • Fax:
Mailing address:
  • Phone: 607-973-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD470605
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number304401
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: