Individual
BRUCE R. JAVORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 E 9TH ST, NEW YORK, NY 10003-6302
(212) 505-7291
Mailing address
63 E 9TH ST, NEW YORK, NY 10003-6302
(212) 505-7291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1221901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
559115
—
NM
Enumeration date
06/29/2006
Last updated
08/29/2008
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