Individual
DR. MARCIAL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E 188TH ST, 1ST FLOOR, BRONX, NY 10458-5402
(718) 220-2804
(718) 220-5321
Mailing address
320 E 188TH ST, 1ST FLOOR, BRONX, NY 10458-5402
(718) 220-2804
(718) 220-5321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02218124
—
NY
Enumeration date
11/01/2006
Last updated
06/04/2015
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