Individual
DR. ALEKSANDR MAKSUMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5506
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
256729-1
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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