JUAN SEBASTIAN MALO

BRONX, NY
NPI1457612269
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-06-07
Last Update Date2022-04-24
Business Address
JUAN SEBASTIAN MALO M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-904-3505
Mailing Address
JUAN SEBASTIAN MALO M.D.
831 RIDGEWOOD DR
QUINCY, IL 62301-5773
Phone number: 305-205-2288