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Organization
BIENVENIDO FAJARDO, M.D.P.C.
Active
Organization
BIENVENIDO FAJARDO, M.D.P.C.
Active
Other names
Associated Medical Group, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIENVENIDO FAJARDO MD (MEDICAL DIRECTOR)
(212) 942-0808
Entity
Organization
Contact information
Practice address
37 NAGLE AVE APT 1D, NEW YORK, NY 10040
(212) 942-0808
(212) 942-1553
Mailing address
37 NAGLE AVE APT 1D, NEW YORK, NY 10040-1483
(212) 942-0808
(212) 942-1553
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
163674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01016260
—
NY
Enumeration date
03/27/2009
Last updated
08/23/2018
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