Organization
SPORTS MEDICINE SPECIALIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMULO VASQUEZ MD (CEO)
(347) 418-6618
Entity
Organization
Contact information
Practice address
1578 WILLIAMSBRIDGE RD # 3D, BRONX, NY 10461-6265
(347) 418-6618
Mailing address
3235 83RD ST, EAST ELMHURST, NY 11370-2007
(347) 418-6618
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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