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1144424862
MARIO SUPAN MALONZO
BRONX, NY
NPI
1144424862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 152890)
Enumeration Date
2007-06-14
Last Update Date
2007-07-08
Business Address
Dr. MARIO SUPAN MALONZO M.D.
1012 E GUN HILL RD
BRONX, NY 10469-3720
Phone number: 718-918-8850
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Mailing Address
Dr. MARIO SUPAN MALONZO M.D.
56 WALWORTH AVE
SCARSDALE, NY 10583-1423
Phone number: 914-725-0751
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