Individual
DR. BLADIMIR RAUL QUIJANO RONDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 618-0401
Mailing address
1434 WILLIAMSBRIDGE RD FL 2, BRONX, NY 10461-2507
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
311788
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2016
Last updated
10/29/2021
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