Individual
GAVRO JELIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76530
CT
Other
Enumeration date
07/20/2020
Last updated
10/20/2025
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