Individual
MR. JUAN PAULO VERDAN BITANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
40 WATERSIDE PLZ APT 14J, NEW YORK, NY 10010-2637
(914) 471-7126
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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