Healthcare Provider Details

I. General information

NPI: 1598028755
Provider Name (Legal Business Name): ANZE URH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 04/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 GLENWOOD AVE
CRANSTON RI
02910-5348
US

IV. Provider business mailing address

68 GLENWOOD AVE
CRANSTON RI
02910
US

V. Phone/Fax

Practice location:
  • Phone: 281-734-6614
  • Fax:
Mailing address:
  • Phone: 281-734-6614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberBP10034325
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number288297
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number14302
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: