Individual
DR. MICHAEL REDA LATIF MARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 SELWYN AVE, MILSTEIN 4A, BRONX, NY 10457-7626
(412) 627-0404
(718) 960-1370
Mailing address
1650 SELWYN AVE, MILSTEIN 4A, BRONX, NY 10457-7626
(412) 627-0404
(718) 960-1370
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA10593900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2013
Last updated
05/26/2023
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