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Organization
MANUEL C BULAUITAN MD PC
Active
Organization
MANUEL C BULAUITAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL C BULAUITAN (SOLE PROPRIETER)
(718) 291-9384
Entity
Organization
Contact information
Practice address
177 06 WEXFORD TERRACE, JAMAICA ESTATES, NY 11432
(718) 291-9384
Mailing address
177 06 WEXFORD TERRACE, JAMAICA ESTATES, NY 11432
(718) 291-9384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
121369
NY
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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