MOSHOLU MEDICAL GROUP P.C

BRONX, NY
NPI1487059515
Former Legal Business NameMOSHOLU MEDICAL GROUP P.C
Entity TypeOrganization
Authorized ContactTHEODORE COSTA DOCU
Owner
718-601-0627
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  182886)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  245895)
Enumeration Date2014-10-31
Last Update Date2020-07-14
Business Address
MOSHOLU MEDICAL GROUP P.C
5750 MOSHOLU AVE
BRONX, NY 10471-2206
Phone number: 914-519-7402
Mailing Address
MOSHOLU MEDICAL GROUP P.C
5750 MOSHOLU AVE
BRONX, NY 10471-2206
Phone number: 914-519-7402