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Individual

VIRGINIA MARIA BAEZ SOCORRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(216) 844-7700
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
1917669
NY
2080P0206X
Pediatric Gastroenterology Physician
35-093410
OH
390200000X
Student in an Organized Health Care Education/Training Program
MT187895
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067920
OH
Enumeration date
05/18/2007
Last updated
07/19/2022
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