Individual
MRS. MARITZA ARCHBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
392 BEDFORD PARK BLVD, BRONX, NY 10458-2415
(718) 364-3200
(718) 364-3200
Mailing address
392 BEDFORD PARK BLVD, BRONX, NY 10458-2415
(718) 364-3200
(718) 364-3200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
177131-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01144210
—
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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