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1770678005
LORETO VERGARA TANAEL
BROOKLYN, NY
NPI
1770678005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 1138351)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- LORETO VERGARA TANAEL MD
3245 NOSTRAND AVE KINGS HWY CENTER
BROOKLYN, NY 11229
Phone number: 718-615-3777
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Mailing Address
-- LORETO VERGARA TANAEL MD
233 NOSTRAND AVE ATTENTION CELESTE JACKSON
BROOKLYN, NY 11205
Phone number: 718-826-3911
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