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1013217629
MANHATTAN AVENUE MEDICAL PC
BRONX, NY
NPI
1013217629
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Entity Type
Organization
Authorized Contact
AZU A AJUDUA
Owner
718-933-4445
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 130554)
Enumeration Date
2010-10-28
Last Update Date
2012-09-11
Business Address
MANHATTAN AVENUE MEDICAL PC
552 EAST 180TH STREET
BRONX, NY 10457-3304
Phone number: 718-933-4445
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Mailing Address
MANHATTAN AVENUE MEDICAL PC
552 EAST 180TH STREET
BRONX, NY 10457-3304
Phone number: 718-933-4445
Copy
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