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1720094600
JOSE DIAZ
BRONX, NY
NPI
1720094600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 121451)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- JOSE DIAZ
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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Mailing Address
-- JOSE DIAZ
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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