Individual
DR. JAD MARWAN BOU AYACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(773) 780-4432
Mailing address
1468 1 GUSTAVE L LEVY PL, APT 5G, NEW YORK, NY 10029
(773) 780-4432
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
276731
NY
Other
Enumeration date
09/16/2013
Last updated
12/14/2016
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