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1679050579
JORGE MANUEL REVELO ESCOBAR
ELMHURST, NY
NPI
1679050579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 316622-01)
Enumeration Date
2018-07-24
Last Update Date
2022-07-22
Business Address
JORGE MANUEL REVELO ESCOBAR MD
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-2156
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Mailing Address
JORGE MANUEL REVELO ESCOBAR MD
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-2156
Copy
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