Individual
DR. JULIETTE MARELLA FAJARDO RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5827
(212) 305-7086
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5827
(212) 305-7086
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
324647
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
347647
NY
Other
Enumeration date
11/21/2019
Last updated
09/17/2024
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