DIABETES RELIEF CENTER OF BRONX MSO LLC

BRONX, NY
NPI1043738586
Entity TypeOrganization
Authorized ContactDEANE' WALLACE
Credentialing Specialist
916-571-9041
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2017-09-05
Last Update Date2017-09-05
Business Address
DIABETES RELIEF CENTER OF BRONX MSO LLC
2825 3RD AVE STE 200
BRONX, NY 10455-4066
Phone number: 916-550-1050
Mailing Address
DIABETES RELIEF CENTER OF BRONX MSO LLC
4441 AUBURN BLVD STE J
SACRAMENTO, CA 95841-4139
Phone number: 916-550-1050
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