# R.E. MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669051421
- **Authorized official:** JOHN CHOBOR (STAFF)
- **Authorized official phone:** (917) 699-3794

## Contact information

- **Practice address:** 1250 WATERS PL STE 505, BRONX, NY 10461-2732
- **Practice address phone:** (914) 965-3366
- **Mailing address:** 1250 WATERS PL STE 505, BRONX, NY 10461-2732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2021
- **Last updated:** 04/07/2021