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Organization
NEW JERSEY BIRDIE HEALTH PC
Active
Organization
NEW JERSEY BIRDIE HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNO VAN TUYKOM (ADMINISTRATIVE SERVICE PROVIDER)
(347) 510-6956
Entity
Organization
Contact information
Practice address
330 E 38TH ST APT 15C, NEW YORK, NY 10016-2769
(502) 424-3766
Mailing address
340 11TH ST APT 4A, BROOKLYN, NY 11215-4056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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