Individual
BRONSON BENNO JOSEPH RAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1400 S PELHAM PKWY, BUILDING 1, 3N, 1C, THE BRONX, NY 10461-1046
(718) 918-3203
Mailing address
1400 S PELHAM PKWY, BUILDING 1, 3N, 1C, THE BRONX, NY 10461
(718) 918-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
311579
NY
207R00000X
Internal Medicine Physician
R6803
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2015
Last updated
03/01/2023
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