Organization
SOAB MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIM MANSUROGLU M.D. (PRESIDENT)
(718) 920-9000
Entity
Organization
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
(718) 780-5836
Mailing address
7515 6TH AVE, BROOKLYN, NY 11209-3315
(718) 920-9000
(718) 780-5836
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
05/12/2006
Last updated
10/10/2007
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