Individual
COSMAN CAMILO MANDUJANO BEJARANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(832) 675-0676
Mailing address
330 CEDAR STREET,YNHH, DEPARTMENT OF SURGERY, NEW HAVEN, CT 06520
(832) 675-0676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
312812
NY
Other
Enumeration date
06/19/2015
Last updated
12/01/2023
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