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1629078191
JOSEPH ANTHONY FEDRICK
BRONX, NY
NPI
1629078191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 199200)
Enumeration Date
2005-07-27
Last Update Date
2012-09-24
Business Address
Mr. JOSEPH ANTHONY FEDRICK
1778 JEROME AVE
BRONX, NY 10453-5708
Phone number: 718-764-1661
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Mailing Address
Mr. JOSEPH ANTHONY FEDRICK
1778 JEROME AVE
BRONX, NY 10453-5708
Phone number: 718-764-1661
Copy
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